PARISA MANSOORI (NPI# 1366862203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366862203 |
Entity Type | Individual |
Full Name | PARISA MANSOORI |
Credential | MD |
Practice Address |
1901 Phoenix Blvd Ste 210 Atlanta GA 30349 |
Mailing Address |
5301 Virginia Way Ste 300 Brentwood TN 37027-7542 |
Practice Telephone | 6152214400 |
Mailing Telephone | 6152214400 |
Enumeration Date | 2014-04-18 |
Last Update Date | 2019-07-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
83659 | GA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
Department of Pathology Wake Forest School, Medical Center Boulevard, Winston Salem, NC 271570001 | 3367164311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932554938 | Parisa Mansoori | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Room 5867, Indianapolis, IN 46202-5109 | 2016-04-27 |
Street Address |
1901 PHOENIX BLVD STE 210 |
City | ATLANTA |
State | GA |
Zip Code | 30349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871630350 | Seth Ian Rosenthal | Pathology | 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349-5062 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
Find all providers in zip 30349 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467431940 | Narayan S Naik | Dermatology | 1200 Lake Hearn Dr Ne, Suite300, Atlanta, GA 30319-1415 | 2006-01-12 |
1518967918 | Marian C. Finan | Dermatology | 1200 Lake Hearn Drive, Suite 300, Atlanta, GA 30319 | 2005-07-28 |
1508972381 | Robert J Morris | Dermatology | 101 Woodruff Cir, Emory University, Department of Dermatology, Room 5034, Atlanta, GA 30322-0001 | 2006-08-22 |
1235160060 | Brian P Pollack | Dermatology | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-06 |
1780684928 | Stephen F. Templeton | Dermatology | 1200 Lake Hearn Drive, Suite 300, Atlanta, GA 30319 | 2005-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285613307 | Robert W Wetherington | Dermatology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2006-01-17 |
1396243630 | Bakotic Pathology Associates, LLC | Dermatology | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2018-01-31 |
1841632783 | Dermpath and Derm Consultants | Dermatology | 1428 Scott Blvd, Decatur, GA 30030-1424 | 2013-07-19 |
1689019184 | Abha Soni | Dermatology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2013-05-09 |
1053565580 | Johns Creek Dermatology and Family Medicine, P.C. | Dermatology | 6300 Hospital Pkwy, Ste 100, Johns Creek, GA 30097 | 2008-11-11 |
1679751978 | Zlatan Oruc | Dermatology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-08 |
1780803098 | Jill Buckthal-mccuin | Dermatology | 1000 Cowles Clinc Way, Aspen Cottages, Greensboro, GA 30642-5285 | 2007-04-25 |
1700900263 | Eli J Piatigorsky | Dermatology | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2007-03-19 |
1245328913 | Georgia Dermatopathology | Dermatology | 510 E Oglethorpe Hwy, Hinesville, GA 31313 | 2006-10-10 |
1003907478 | Karen C Penrose | Dermatology | 900 Mohawk St Ste E, Savannah, GA 31419-1768 | 2006-09-28 |
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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.