KAMAL MA BOZORG (NPI# 1114914306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114914306 |
| Entity Type | Individual |
| Full Name | KAMAL MA BOZORG |
| Credential | MD |
| Practice Address |
724 Pershing St Ellwood City PA 16117-1474 |
| Practice Telephone | 7247526864 |
| Practice Fax Number | 7247526911 |
| Mailing Telephone | 7247526864 |
| Mailing Fax Number | 7247526911 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD051339L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1014491630001 | 05 |
| Street Address |
724 PERSHING ST |
| City | ELLWOOD CITY |
| State | PA |
| Zip Code | 16117-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487169249 | Shannon Lee Myers | Nurse Practitioner | 724 Pershing St, Ellwood City, PA 16117-1474 | 2017-12-02 |
| 1568976322 | Stephanie Ann Annarumo-bailey | Nurse Practitioner | 724 Pershing St, Ellwood City, PA 16117-1474 | 2017-11-30 |
| 1336652411 | Neurology Specialists of Greater Pittsburgh P.C. | Psychiatry & Neurology | 724 Pershing St, Ellwood City, PA 16117-1474 | 2017-11-10 |
| 1861879652 | Ahn Emergency Group of Ellwood City, Ltd. | Emergency Medicine | 724 Pershing St, Ellwood City, PA 16117-1474 | 2015-04-30 |
| 1760875322 | Brittany Marina Kwiat | Physician Assistant | 724 Pershing St, Ellwood City, PA 16117-1474 | 2015-03-06 |
| 1831591825 | Ellwood Medical Center Operations, LLC | Anesthesiology | 724 Pershing St, Ellwood City, PA 16117-1474 | 2014-09-22 |
| 1992114920 | Jodie Stratton | Nurse Anesthetist, Certified Registered | 724 Pershing St, Ellwood City, PA 16117-1474 | 2014-08-04 |
| 1720333065 | Michael George Metelsky | Physical Therapist | 724 Pershing St, Ellwood City, PA 16117-1474 | 2012-07-23 |
| 1962761718 | Suzanne Marie Fornataro | Physical Therapist | 724 Pershing St, Ellwood City, PA 16117-1474 | 2012-05-15 |
| 1801162342 | Melinda Dale Pasquale | Physical Therapist | 724 Pershing St, Ellwood City, PA 16117-1474 | 2012-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103877 | Lisa Ann Smiley | Technician | 133 Hemlock Way, Ellwood City, PA 16117 | 2019-09-17 |
| 1396119780 | Adam Shrawder | Physical Therapist | 1677 Pa-65, Ellwood City, PA 16117 | 2015-11-23 |
| 1497093942 | Lucile A Harrell | Nurse Practitioner | 1677 State Rt 65, Ellwood City, PA 16117 | 2013-01-17 |
| 1124311709 | Ryan S. Beer | Physical Therapist | 1807 Mercer Road, Ellwood City, PA 16117 | 2011-05-16 |
| 1942328323 | Larry Lester Dolter | Chiropractor | Rt 288 310 2, Ellwood City, PA 16117 | 2007-03-26 |
| 1881721256 | Martin Charles Marion | Dentist | 731 Lawrence Ave, Ellwood City, PA 16117 | 2007-02-27 |
| 1710028832 | Mary Ann Dibiagio Do PC | Non-Pharmacy Dispensing Site | 1673 State Route 65, Ellwood City, PA 16117 | 2007-02-09 |
| 1952486482 | Christopher Panek | Podiatrist | 601 Crescent Ave, Ellwood City, PA 16117 | 2006-10-25 |
| 1699859785 | Timothy Burk | Specialist | 1677 State Route 65, Ellwood City, PA 16117 | 2006-10-25 |
| 1396835534 | Apple Occupational Heatlh Services, Inc. | Clinic/Center | 501 Jamison Avenue, Ellwood City, PA 16117 | 2006-10-16 |
| Find all providers in zip 16117 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103069 | Kongoormutt Ramakrishna Bhat | Obstetrics & Gynecology | 3 Jamison Dr, York, PA 17402-2615 | 2020-08-03 |
| 1811515307 | St. Luke's Physician Group, Inc. | Obstetrics & Gynecology | 3311 Nazareth Rd Fl 1, Easton, PA 18045-2017 | 2020-07-10 |
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1184257826 | St. Luke's Physician Group Inc., Dba | Obstetrics & Gynecology | 2925 William Penn Hwy Ste 104, Easton, PA 18045-5283 | 2020-02-21 |
| 1821633694 | Julia Claire Moran | Obstetrics & Gynecology | 1800 Union Ave, Natrona Heights, PA 15065-2201 | 2019-11-15 |
| 1851957948 | Stacie Marie Rickley | Obstetrics & Gynecology | 1265 New Germany Rd, Summerhill, PA 15958-5301 | 2019-05-14 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1003387572 | Carissa Susan Mcilwain | Obstetrics & Gynecology | 25 Bala Ave Ste 205, Bala Cynwyd, PA 19004-3215 | 2018-12-10 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | ELLWOOD CITY |
| Zip Code | 16117 |
Please comment or provide details below to improve the information on KAMAL MA BOZORG.
| 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.