KAYVON IZADI (NPI# 1144369182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144369182 |
| Entity Type | Individual |
| Full Name | KAYVON IZADI |
| Credential | MD |
| Practice Address |
16120 W Dodge Rd Omaha NE 68118-2049 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4023540707 |
| Practice Fax Number | 4023540711 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 24919 | NE | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 01064516A | IN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 2004-0558 | NM | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
24919 | NE | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
24919 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47068731742 | 05 | |
| IA | 1144369182 | 05 | |
| NE | 47068731751 | 05 |
| Street Address |
16120 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68118-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176506 | Michelle L Caffey | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2005-07-06 |
| 1760028153 | Md West One, PC | Neurological Surgery | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2019-11-21 |
| 1194226787 | Ryan M Houser | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2018-02-28 |
| 1982122917 | Madonna L Klein | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2017-08-30 |
| 1104368828 | Rachel L Anderson | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-11-11 |
| 1821440777 | Lauren Shoemaker | Internal Medicine | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-07-04 |
| 1093166050 | Michael Klug | Internal Medicine | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-06-30 |
| 1154775542 | Dianne Gillaspie | Physical Therapist | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-04-21 |
| 1871951327 | Mindy Keane | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2016-01-29 |
| 1700267978 | Rachelle Lou Naridze | Dermatology | 16120 W Dodge Rd, Omaha, NE 68118 | 2015-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1982091583 | Andrew Siref | Student in an Organized Health Care Education/Training Program | 16622 Howard Cir, Omaha, NE 68118 | 2015-04-21 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| 1619102613 | Children's West Village Pointe - Diagnostic Services | Spec/Tech, Pathology | 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 | 2009-05-19 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1285802538 | Becker Chiropractic LLC | Chiropractor | 17785 Mason St, Suite 101, Omaha, NE 68118 | 2008-02-20 |
| 1598940611 | Dane Patrick Becker | Chiropractor | 17785 Mason St., Suite 101, Omaha, NE 68118 | 2008-01-08 |
| 1700951779 | Karoline S Anderson | Pediatrics | 16811 Burke Street, Ste 101, Omaha, NE 68118 | 2006-11-22 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| Find all providers in zip 68118 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
Please comment or provide details below to improve the information on KAYVON IZADI.
| 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.