MR. MOHAMMAD JAVAD POOSTIZADEH (NPI# 1417193087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417193087 |
| Entity Type | Individual |
| Full Name | MR. MOHAMMAD JAVAD POOSTIZADEH |
| Credential | MD |
| Practice Address |
245 Cherry St Se Ste 104 Grand Rapids MI 49503 |
| Mailing Address |
1900 44th St Se Kentwood MI 49508 |
| Practice Telephone | 6166858620 |
| Enumeration Date | 2009-01-01 |
| Last Update Date | 2014-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
4301104031 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
245 CHERRY ST SE STE 104 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768820 | Stacyann Steen | Family Medicine | 245 Cherry St Se, Ste 100, Grand Rapids, MI 49503 | 2005-08-23 |
| 1831691138 | Douglas Craig Sjoerdsma Jr. | Physical Therapist | 245 Cherry St Se, Grand Rapids, MI 49503-4607 | 2018-03-02 |
| 1821537143 | Malorie Venlet | Social Worker | 245 Cherry St Se, Suite 200, Grand Rapids, MI 49503-4607 | 2017-02-20 |
| 1902275506 | Margaret Vandewater | Nurse Practitioner | 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 | 2015-09-24 |
| 1356764674 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2014-01-22 |
| 1649601295 | Shanna Henderson | Physician Assistant | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2013-12-09 |
| 1417208463 | Stephanie Dora Smith | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-09-29 |
| 1427303452 | Mary Jo Richard | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-07-16 |
| 1134483340 | Crystal Ann Zilo | Obstetrics & Gynecology | 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 | 2012-07-02 |
| 1982991683 | Aileen Elizabeth M Ampil Antonio | Ophthalmology | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053849810 | Hien Luu | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2017-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598016149 | Ivo Drury | Psychiatry & Neurology | 2070 Hollow Oak Dr, Ann Arbor, MI 48103-8402 | 2012-09-23 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1265478671 | Karim Mousa Fram | Psychiatry & Neurology | 237 Davis Lake Rd, Suite B, Lapeer, MI 48446-1466 | 2006-06-22 |
| 1174597991 | Carey M Vigor Md PC | Psychiatry & Neurology | 2725 Packard Rd, # 101, Ann Arbor, MI 48108-3443 | 2006-02-16 |
| 1144855131 | Hasan & Hasan Neurology Group PC | Psychiatry & Neurology | 237 Davis Lake Rd Ste D, Lapeer, MI 48446-1485 | 2020-03-10 |
| 1609238674 | Satyamurthy Kotamraju Md PC | Psychiatry & Neurology | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2016-03-28 |
| 1578941225 | Jian Xu | Psychiatry & Neurology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2015-05-14 |
| 1942555727 | Tammam Dayyoub | Psychiatry & Neurology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2012-07-18 |
| 1922242635 | Sadia Najamuddin | Psychiatry & Neurology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2009-04-24 |
| 1841454816 | Neena Jamwal | Psychiatry & Neurology | 4646 John R St, Department of Neurology, Detroit, MI 48201-1916 | 2008-07-17 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MR. MOHAMMAD JAVAD POOSTIZADEH.
| 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.