MOHAMMAD R. JAZAYERI


Address: 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505
Phone: 9204333640

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI 30770600 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2820 Roosevelt Rd, Marinette, WI 541433834 7157355225 7157355388
820 Arbutus Ave, Oconto, WI 541532004 9208351100 9208351099

Office Location

Street Address 744 S WEBSTER AVE
2ND FLOOR
City GREEN BAY
State WI
Zip Code 54301-3505

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114128048 James Christopher Hansen Internal Medicine 1727 Shawano Ave, Green Bay, WI 54303-3268 2007-05-29

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City GREEN BAY
Zip Code 54301

Improve Information

Please comment or provide details below to improve the information on MOHAMMAD R. JAZAYERI.

Dataset Information

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.

Trending Searches