MOHAMMAD R. JAZAYERI (NPI# 1336238161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336238161 |
Entity Type | Individual |
Full Name | MOHAMMAD R. JAZAYERI |
Credential | MD |
Practice Address |
744 S Webster Ave 2nd Floor Green Bay WI 54301-3505 |
Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
Practice Telephone | 9204333640 |
Practice Fax Number | 9204333716 |
Mailing Telephone | 9204457222 |
Mailing Fax Number | 9204457289 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-01-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27239 | WI | Allopathic & Osteopathic Physicians |
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
27239-20 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30770600 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2820 Roosevelt Rd, Marinette, WI 541433834 | 7157355225 | 7157355388 |
820 Arbutus Ave, Oconto, WI 541532004 | 9208351100 | 9208351099 |
Street Address |
744 S WEBSTER AVE 2ND FLOOR |
City | GREEN BAY |
State | WI |
Zip Code | 54301-3505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851398283 | Sampoornima Setty | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2005-06-30 |
1447858857 | Caycie N Bray | Physical Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-16 |
1326645029 | Nikki Lee Leow | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-06 |
1033726914 | Patricia M Slempkes | Occupational Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-09-25 |
1255941746 | Cassandra Toellner | Anesthesiologist Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-08-09 |
1376151951 | Dayna Elizabeth Schneider | Speech-Language Pathologist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-07-20 |
1164045092 | Robyn W Lauritsen | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-27 |
1831711860 | Ashley Elizabeth Mijal | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-13 |
1336760883 | Veronica B Hoppe | Pharmacist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-06 |
1386264521 | Brian Joseph Eggener | Radiology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
Find all providers in zip 54301 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114128048 | James Christopher Hansen | Internal Medicine | 1727 Shawano Ave, Green Bay, WI 54303-3268 | 2007-05-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427208099 | Afroz A Hai | Internal Medicine | 725 American Ave Ste 410, Prohealth Care Cardiology, Waukesha, WI 53188-5031 | 2008-09-19 |
1306018007 | Rashad H Khazi Syed | Internal Medicine | 2350 N Lake Drive, Suite 206, Csmcp Cardiac Rhythm Specialists, Milwaukee, WI 53211-2984 | 2008-04-02 |
1851493647 | Cardiac Rhythm Specialists Sc | Internal Medicine | 3805 Spring St, Suite 310, Racine, WI 53405-1667 | 2006-09-02 |
1588614937 | Stephen T Denker | Internal Medicine | 2025 W Oklahoma Avenue, Suite 102, Milwaukee, WI 53215-4455 | 2006-05-10 |
1235106089 | Vicken R Vorperian | Internal Medicine | 725 American Ave Suite 410, Prohealth Care Medical Associates Cardiology, Waukesha, WI 53188-5071 | 2006-03-01 |
1194721407 | Nguyen H Phan | Internal Medicine | 2350 N Lake Dr, Ste 206, Milwaukee, WI 53211-4528 | 2005-06-22 |
1821591710 | Phoenixc Healthcare, Sc | Internal Medicine | 6121 Green Bay Rd Ste 100, Kenosha, WI 53142-2931 | 2018-03-16 |
1083933170 | Bilal Omery | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2010-05-28 |
1962729517 | Jeremy J Zimmermann | Internal Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2010-04-22 |
1740511161 | Csm Community Physicians | Internal Medicine | 1414 N Taylor Dr, Sheboygan, WI 53081-1988 | 2010-01-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MOHAMMAD R. JAZAYERI.
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.