KHURRAM MIRZA (NPI# 1053666420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053666420 |
| Entity Type | Individual |
| Full Name | KHURRAM MIRZA |
| Practice Address |
3400 Highway 78 E Jasper AL 35501-8956 |
| Mailing Address |
7624 Warren Pkwy Frisco TX 75034-4158 |
| Practice Telephone | 2053874401 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 38136 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841453958 | Khurram R Mirza | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2008-07-08 |
| Street Address |
3400 HIGHWAY 78 E |
| City | JASPER |
| State | AL |
| Zip Code | 35501-8956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939301 | Ivana Barbara Kajdos | Internal Medicine | 3400 Highway 78 E, Medical Arts Tower, Suite 321, Jasper, AL 35501-8907 | 2005-08-10 |
| 1679172126 | Julianne Grace Stephenson | Registered Nurse | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2020-10-25 |
| 1508480203 | Katrina Leighann Tuggle | Nurse Anesthetist, Certified Registered | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2020-05-29 |
| 1659926061 | Kayla Miquel Lawrence | Nurse Practitioner | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2019-08-03 |
| 1992266191 | Jessica Leigh Crumpton | Registered Nurse | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2019-03-29 |
| 1346708534 | Margaret Murphy Yeilding | Physician Assistant | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2019-03-06 |
| 1265997456 | Nathanael Peter Nalbach | Nurse Anesthetist, Certified Registered | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2019-02-01 |
| 1043774433 | Eric Alexander Swinford | Nurse Anesthetist, Certified Registered | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2019-01-30 |
| 1790276012 | Ashley C Merchant Mclean | Nurse Practitioner | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2018-05-22 |
| 1851899322 | Taylor Anne Countiss | Physician Assistant | 3400 Highway 78 E, Jasper, AL 35501-8956 | 2018-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| 1205134673 | M & M Interventional Spine | Internal Medicine | 91 Sammy Mcghee Blvd Ste 101, Jasper, GA 30143-7704 | 2011-03-08 |
| 1932400520 | First Mountain Medical, LLC | Internal Medicine | 640 West Church St, Jasper, GA 30143 | 2010-11-12 |
| 1649350646 | Walker Medical Diagnostics, LLC | Internal Medicine | 1450 Jones Dairy Road, Bldg 600, Jasper, AL 35501 | 2006-10-16 |
| 1568571263 | Renaldas Smidtas | Internal Medicine | 413 Nw 5th Ave, Jasper, FL 32052 | 2006-08-29 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| 1588673008 | Durba Mishra | Internal Medicine | 1273 S Peachtree St, Jasper, TX 75951-4915 | 2006-08-05 |
| 1194734665 | Michael Hugh Brasfield | Internal Medicine | 1450 Jones Dairy Rd., Bldg 400, Jasper, AL 35501 | 2006-08-05 |
| 1265453120 | Samia Sana Moizuddin | Internal Medicine | 1090 Highway 78 E, Jasper, AL 35501-3959 | 2006-07-23 |
| Find all providers in JASPER | ||||
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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.