DR. NAVID BOUZARI (NPI# 1417168535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417168535 |
| Entity Type | Individual |
| Full Name | DR. NAVID BOUZARI |
| Credential | M.D. |
| Practice Address |
1 Scobee Cir Ste 3 South Shore Skin Center Plymouth MA 02360-4887 |
| Practice Telephone | 5087470711 |
| Practice Fax Number | 5087469265 |
| Mailing Telephone | 5087470711 |
| Mailing Fax Number | 5087469265 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 242646 | MA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
242646 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110086134A | 05 |
| Street Address |
1 SCOBEE CIR STE 3 SOUTH SHORE SKIN CENTER |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730641960 | Rhiannon Sara Dunne | Dermatology | 1 Scobee Cir Ste 3, Plymouth, MA 02360-4887 | 2019-04-05 |
| 1689166126 | Kaila Gottlick Sinclair | Dermatology | 1 Scobee Cir Ste 3, Plymouth, MA 02360-4887 | 2018-05-31 |
| 1598178923 | Lauren E Strazzula | Dermatology | 1 Scobee Cir Ste 3, Plymouth, MA 02360-4887 | 2014-06-03 |
| 1285952846 | Tivon Isaac Sidorsky | Dermatology | 1 Scobee Cir Ste 3, Plymouth, MA 02360-4887 | 2010-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
| 1952506552 | Marcos Sastre | Dermatology | 8 Market Xing, Plymouth, MA 02360-7736 | 2007-06-15 |
| 1568552594 | Dermatology Associates of The South Shore PC | Dermatology | 8 Market Crossing, Plymouth, MA 02360-7736 | 2006-10-13 |
| 1497774962 | Jeffrey N Farber | Dermatology | 345 Court St, Suite 201, Plymouth, MA 02360-4329 | 2006-07-18 |
| 1730148065 | Arthur W Gulick | Dermatology | 221 N Sheldon Rd, Plymouth, MI 48170-1524 | 2006-03-23 |
| 1851378020 | Phillip M Ecker | Dermatology | 3655 Plymouth Blvd, Suite 110, Plymouth, MN 55446-3664 | 2005-12-28 |
| 1497738975 | H Spencer Holmes | Dermatology | 1295 Walnut Grove Ln N, Plymouth, MN 55447-1093 | 2005-11-29 |
| 1992700728 | Richard Franklin Eisen | Dermatology | 1 Scobee Cir, Unit 3, Plymouth, MA 02360-4887 | 2005-06-17 |
| 1841293701 | Valda Noreen Kaye | Dermatology | 9900 13th Avenue North, Suite 2a, Plymouth, MN 55441-5035 | 2005-05-24 |
| Find all providers in PLYMOUTH | ||||
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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.