DR. NOSRATOLLAH NEZAKATGOO (NPI# 1326004177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326004177 |
| Entity Type | Individual |
| Full Name | DR. NOSRATOLLAH NEZAKATGOO |
| Credential | MD |
| Practice Address |
1910 Nonconnah Blvd Suite 120 Memphis TN 38132-2113 |
| Mailing Address |
66 N Pauline St Suite 206 Memphis TN 38105-5105 |
| Practice Telephone | 9014482300 |
| Practice Fax Number | 9014486657 |
| Mailing Telephone | 9014487642 |
| Mailing Fax Number | 9014488015 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 34128 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC/BS TN | 3157769 | 01 |
| TN | 3852714 | 05 |
| Street Address |
1910 NONCONNAH BLVD SUITE 120 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38132-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933276 | Cynthia Denise Cross | Emergency Medicine | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2005-12-22 |
| 1265719496 | Tamara Devon Jones | Social Worker | 1910 Nonconnah Blvd, Suite #100, Memphis, TN 38132-2113 | 2011-11-16 |
| 1417244765 | Compass Laboratory Services LLC | Clinical Medical Laboratory | 1910 Nonconnah Blvd, 108, Memphis, TN 38132-2113 | 2011-07-07 |
| 1508090986 | Oana Maria Hendea | Audiologist | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2009-05-13 |
| 1649429119 | Dawna J. Willis | Nurse Practitioner | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2008-09-09 |
| 1538315304 | Samir Hasmukh Shah | Pediatrics | 1910 Nonconnah Blvd, Ste 120, Memphis, TN 38132-2113 | 2008-08-13 |
| 1710163373 | Martha Katheryn Ballard | Nurse Practitioner | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2008-01-14 |
| 1861673816 | Keith A. Collins | Nurse Anesthetist, Certified Registered | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2007-11-19 |
| 1851510978 | Mindy A Mullins | Nurse Anesthetist, Certified Registered | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2007-04-25 |
| 1275629396 | Sabrina Burns Kuster | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1164802195 | Cynthia Luaune Poole | Social Worker | 2606 Corporate Dr, Memphis, TN 38132 | 2015-06-04 |
| 1033375753 | Concentra Health Services, Inc. | Clinic/Center | 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 | 2008-08-01 |
| 1063406676 | The Synergy Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2305 Airport Interchange Avenue, Memphis, TN 38132 | 2005-09-09 |
| 1932488129 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 | 2011-08-05 |
| 1699181461 | Stacy Triplett | Counselor | 2305 Airport Interchange Ave, Memphis, TN 38132-1002 | 2014-07-01 |
| 1174852164 | Delois Roberson | Dentist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2009-12-22 |
| 1801380985 | Javier Jackson | Physical Therapist | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2018-06-21 |
| 1326499252 | Joshua Mock | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2016-06-22 |
| 1295112720 | Michelle Frulla | Physical Therapy Assistant | 2781 Airways Blvd, Memphis, TN 38132-1104 | 2015-05-05 |
| Find all providers in zip 38132 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366452484 | Jason M Vanatta | Transplant Surgery | 1265 Union Ave, 4 Shorb Tower, Memphis, TN 38104-3415 | 2006-08-09 |
| 1841695632 | Martin Strueber | Transplant Surgery | 6025 Walnut Grove Rd Ste 111, Memphis, TN 38120-2102 | 2014-10-23 |
| 1427317908 | Ut Methodist Physicians LLC | Transplant Surgery | 1265 Union Ave, Memphis, TN 38104-3415 | 2012-05-03 |
| 1942452073 | Peter John Horton | Transplant Surgery | 1265 Union Ave, Suite 184, Memphis, TN 38104-3415 | 2008-10-21 |
| 1972792117 | Ryan A Helmick | Transplant Surgery | 1265 Union Ave, Suite 184, Memphis, TN 38104-3415 | 2007-10-23 |
| 1952368003 | James D Eason | Transplant Surgery | 1265 Union Ave, Suite 184, Memphis, TN 38104-3415 | 2006-05-01 |
| 1053377820 | Santiago Vera | Transplant Surgery | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306871157 | William Arthur Nylander | Transplant Surgery | 912 Oxford House, Nashville, TN 37232-4750 | 2006-07-11 |
| 1225016546 | Seth Jonathan Karp | Transplant Surgery | 805 Oxford House, 1313 21st Avenue South, Nashville, TN 37232-4745 | 2006-01-06 |
| 1811471485 | Diana Wells-english | Transplant Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5067 | 2018-09-19 |
| 1891002523 | University Health System, Inc | Transplant Surgery | 1940 Alcoa Hwy, Ste E120, Knoxville, TN 37920 | 2010-09-01 |
| 1255563938 | Muhammad Ameen Rauf | Transplant Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2009-08-14 |
| 1780849208 | Martin Ignacio Montenovo | Transplant Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2420 | 2008-07-24 |
| 1902069487 | Bernard John Dubray Jr. | Transplant Surgery | 1313 21st Ave S, Nashville, TN 37232-0001 | 2008-07-06 |
| 1609046069 | Lea Kiku Matsuoka | Transplant Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5324 | 2008-03-01 |
| 1316142573 | Ashok N Babu | Transplant Surgery | 4230 Harding Pike, Ste. 530, Nashville, TN 37205-2013 | 2007-06-18 |
| 1215062559 | Dan Eugene Hale | Transplant Surgery | 9123 Cross Park Dr, Suite 200, Knoxville, TN 37923-4552 | 2007-02-23 |
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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.