DR. MUSHARRAF ASHROF NIZAMI (NPI# 1144317785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144317785 |
| Entity Type | Individual |
| Full Name | DR. MUSHARRAF ASHROF NIZAMI |
| Credential | M.D. |
| Practice Address |
56 Club Manor Dr Suite 100 Pueblo CO 81008-1679 |
| Practice Telephone | 7195844767 |
| Practice Fax Number | 7195844808 |
| Mailing Telephone | 7195844767 |
| Mailing Fax Number | 7195844808 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
41416 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 78324041 | 05 |
| Street Address |
56 CLUB MANOR DR SUITE 100 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743247 | Susan R. Middleton | Psychiatry & Neurology | 56 Club Manor Dr, Pueblo, CO 81008-1679 | 2006-06-28 |
| 1619305950 | Musharraf A. Nizami, M.d. PC | Psychiatry & Neurology | 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1679 | 2013-10-24 |
| 1689948424 | Diana Smith | Registered Nurse | 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1685 | 2012-02-24 |
| 1609193457 | Tanya Dawn Hand | Counselor | 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1679 | 2010-05-03 |
| 1366672719 | Jessica L Cummings | Nurse Practitioner | 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1685 | 2009-07-20 |
| 1992972731 | Parkview Ancillary Services | Psychologist | 56 Club Manor Dr, Ste 100, Pueblo, CO 81008-1679 | 2008-05-12 |
| 1154483071 | Daphyne Joy Jillson | Counselor | 56 Club Manor Dr, Suite 100, Pueblo, CO 81008 | 2006-12-15 |
| 1447325097 | Front Range Psychiatric Associates, P.C. | Psychiatry & Neurology | 56 Club Manor Dr, 100, Pueblo, CO 81008-1679 | 2006-11-21 |
| 1669568556 | Steven Dana Martin | Psychiatry & Neurology | 56 Club Manor Dr, Suite 100, Pueblo, CO 81008-1679 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882602 | Parkview Ancillary Services | Psychiatry & Neurology | 56 Club Manor Dr Ste 100, Pueblo, CO 81008-1685 | 2019-10-08 |
| 1740409812 | Newpath Behavioral Rehabilitation Center | Psychiatry & Neurology | 128 S Union Ave, Suite C, Pueblo, CO 81003-3443 | 2007-04-25 |
| 1912028564 | Southern Colorado Psychiatric P.C. | Psychiatry & Neurology | 1925 E Orman Ave Ste G12, Pueblo, CO 81004-3563 | 2007-04-02 |
| 1134280662 | Shari A Blackmon | Psychiatry & Neurology | 400 W. 16th, Pueblo, CO 81003 | 2006-12-12 |
| 1093743247 | Susan R. Middleton | Psychiatry & Neurology | 56 Club Manor Dr, Pueblo, CO 81008-1679 | 2006-06-28 |
| 1053348797 | Sharon Ann Allen | Psychiatry & Neurology | 909 Court Street, Pueblo, CO 81003-2968 | 2006-06-27 |
| 1891739975 | Graham Walter Hoffman | Psychiatry & Neurology | San Carlos Correctional Facility, 1410 W. 13th Street, Pueblo, CO 81003 | 2006-06-16 |
| 1962466110 | Artin Terhakopian | Psychiatry & Neurology | 56 Club Manor Drive, Suite 100, Pueblo, CO 81008-1685 | 2006-04-14 |
| 1487617320 | William Douglas Leusink | Psychiatry & Neurology | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2006-04-11 |
| 1427048917 | Lennart Rolf Abel | Psychiatry & Neurology | 1600 W 24th St, Pueblo, CO 81003-1411 | 2005-10-26 |
| Find all providers in PUEBLO | ||||
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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.