EHSAN ZANDIFAR (NPI# 1043839491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043839491 |
| Entity Type | Individual |
| Full Name | EHSAN ZANDIFAR |
| Credential | MD |
| Practice Address |
515 Hugh Ave Sparta MO 65753-1220 |
| Mailing Address |
1570 S 14th Ave Apt 13 Ozark MO 65721-8940 |
| Practice Telephone | 4176343000 |
| Mailing Telephone | 9494664181 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2019016567 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
515 HUGH AVE |
| City | SPARTA |
| State | MO |
| Zip Code | 65753-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063425650 | Paul Boyd Glynn | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2006-08-14 |
| 1750708335 | Betty S. Bruce | Nurse Practitioner | 515 Hugh Ave, Sparta, MO 65753-1220 | 2014-03-21 |
| 1689758872 | Rural Healthcare Providers Inc. | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-0449 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1972620383 | Bridges Medical Services P.C. | Clinic/Center | 155 Village Dr, Sparta, MO 65753 | 2007-03-23 |
| 1780801936 | Daniel Douglas Mccool | Speech-Language Pathologist | School Dist R 3 Sparta, 113 Division, Sparta, MO 65753-0160 | 2007-04-19 |
| 1255527990 | Mary Neal | Speech-Language Pathologist | 217 Division St, Sparta R IIi, Sparta, MO 65753-0160 | 2007-09-17 |
| 1215932488 | Arthur Joe Cohn | Internal Medicine | 155 Village Dr, Sparta, MO 65753-8104 | 2005-06-15 |
| 1689289282 | Eric B Hines | Family Medicine | 155 Village Dr, Sparta, MO 65753-8104 | 2020-09-10 |
| 1003389941 | Tara N Loveland | Nurse Practitioner | 155 Village Dr, Sparta, MO 65753-8104 | 2019-01-03 |
| 1073020673 | Katrina Lea Selsor | Nurse Practitioner | 155 Village Dr, Sparta, MO 65753-8104 | 2018-01-04 |
| 1811391717 | Sgoh Acquisition, Inc. | Clinic/Center | 155 Village Drive, Sparta, MO 65753-8104 | 2014-10-21 |
| 1770689747 | John J Magnuson | Pediatrics | 155 Village Dr, Sparta, MO 65753-8104 | 2006-09-16 |
| Find all providers in zip 65753 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750612503 | Carl Setford Schlageter | Family Medicine | 612 E Broadway St, Sparta, IL 62286-1818 | 2010-01-19 |
| 1154589091 | Velentino Vincent Sica | Family Medicine | 41 Balsam Parkway, Sparta, NJ 07871-2004 | 2008-05-28 |
| 1225258080 | New River Family Medicine | Family Medicine | 12 Willis St, Suite C, Sparta, NC 28675-9220 | 2007-04-26 |
| 1134291883 | Robert Francis Baker Jr. | Family Medicine | 207 E Bockman Way, Sparta, TN 38583-2041 | 2006-11-15 |
| 1215022207 | Share Ministry Inc | Family Medicine | 393 N Main Street, Sparta, NC 28675 | 2006-10-04 |
| 1427163146 | Georgia Latham | Family Medicine | 393 N Main St, Sparta, NC 28675-8896 | 2006-08-20 |
| 1063425650 | Paul Boyd Glynn | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2006-08-14 |
| 1659311702 | Chad A Griffin | Family Medicine | 433 Sewell Dr, Sparta, TN 38583-1223 | 2006-06-07 |
| 1548227606 | Russell Coulter | Family Medicine | Family Health Centre, 207 South Burns Ave, Sparta, IL 62286 | 2006-05-01 |
| 1114984283 | Elvira Salarda | Family Medicine | Sparta Medical Office, 215 South Burns, Sparta, IL 62286 | 2006-05-01 |
| Find all providers in SPARTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.