MEHRDAD VAZIRI (NPI# 1073577896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073577896 |
| Entity Type | Individual |
| Full Name | MEHRDAD VAZIRI |
| Credential | CRNA |
| Practice Address |
555 N Duke St Lancaster PA 17602-2250 |
| Practice Telephone | 7175445511 |
| Mailing Telephone | 7175445511 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2011-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN568878 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 50058185 | 01 |
| PA | AETNA-HMO | 1150129 | 01 |
| PA | RR MEDICARE | P00288387 | 01 |
| PA | INDEPENDENCE BLUE CROSS | 2620650000 | 01 |
| PA | KEYSTONE HEALTH PLAN CENTRAL | 50058185 | 01 |
| PA | GEISINGER | 106615 | 01 |
| PA | HIGHMARK | 001783285 | 01 |
| PA | AETNA-NON HMO | 7846522 | 01 |
| Street Address |
555 N DUKE ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940349 | Cindy Janesky | Radiology | 555 N Duke St, Lancaster, PA 17602-2250 | 2005-05-23 |
| 1205437076 | Heather Long | Student in an Organized Health Care Education/Training Program | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-11-06 |
| 1326647074 | Danielle Marie Nusbaum | Nurse Practitioner | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-10-23 |
| 1558978783 | Danielle K Robertson | Clinical Nurse Specialist | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-10-01 |
| 1629684766 | Devi Naraine | Internal Medicine | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-09-22 |
| 1740895630 | Lanaster General Hospital | Nurse Anesthetist, Certified Registered | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-09-09 |
| 1629680889 | Derek Glenn Brubaker | Nurse Practitioner | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-08-19 |
| 1700496221 | April Weirich | Nurse Practitioner | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-08-10 |
| 1902414717 | Andrea Castillo | Nurse Practitioner | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-07-17 |
| 1366068660 | Kyle Lau | Student in an Organized Health Care Education/Training Program | 555 N Duke St, Lancaster, PA 17602-2250 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356356083 | Marcus C Jurgensen | Nurse Anesthetist, Certified Registered | 244 Whittier Ln, Lancaster, PA 17602-4038 | 2006-07-30 |
| 1275587941 | Nilsa Ivette Torres | Nurse Anesthetist, Certified Registered | 2824 Mcintosh Ct, Lancaster, TX 75134-4911 | 2006-05-19 |
| 1881653731 | Charles Gerald Sweigert | Nurse Anesthetist, Certified Registered | 550 N Duke St, Lancaster, PA 17602-2208 | 2006-03-20 |
| 1912986175 | Claudia Dee Carrigan | Nurse Anesthetist, Certified Registered | 221 E Walnut St, Lancaster, PA 17602-2341 | 2006-01-15 |
| 1003892167 | Julia Darlene Fuller | Nurse Anesthetist, Certified Registered | 555 N. Duke St., Lancaster, PA 17604 | 2005-12-21 |
| 1417944869 | Katherine E. Toto | Nurse Anesthetist, Certified Registered | 4 Tallgrass Path, Lancaster, PA 17602 | 2005-09-30 |
| 1871595355 | Jayne Ellen Casey | Nurse Anesthetist, Certified Registered | 107 Mitric Ln, Lancaster, PA 17601-7600 | 2005-08-15 |
| 1932104668 | David Bainbridge | Nurse Anesthetist, Certified Registered | 507 S Monroe St, Lancaster, WI 53813-2054 | 2005-06-17 |
| 1780688663 | Karen Anne Suppi | Nurse Anesthetist, Certified Registered | 554 N Duke St, Ste.2, Lancaster, PA 17602-2225 | 2005-06-09 |
| 1467455972 | Tammy Ann Simpson | Nurse Anesthetist, Certified Registered | 133 E Frederick St, Lancaster, PA 17602-2294 | 2005-05-30 |
| Find all providers in LANCASTER | ||||
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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.