SHALIZ POURKAVIANI


Address: 701 10th St Se, Cedar Rapids, IA 52403-1292
Phone: 3193986011

SHALIZ POURKAVIANI (NPI# 1467895474) 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) 1467895474
Entity Type Individual
Full Name SHALIZ POURKAVIANI
Credential MD
Practice Address 701 10th St Se
Cedar Rapids
IA 52403-1292
Mailing Address 186 S. Orange Ave, F603
Umdnj Pediatric Education
Newark
NJ 07101
Practice Telephone 3193986011
Mailing Telephone 9739726015
Enumeration Date 2013-04-09
Last Update Date 2019-07-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
285686 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 10th Ave, New York, NY 100191147 2125234000

Office Location

Street Address 701 10TH ST SE
City CEDAR RAPIDS
State IA
Zip Code 52403-1292

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740284421 Chad Abernathey Neurological Surgery 701 10th St Se, Cedar Rapids, IA 52403-1251 2005-06-09
1942821244 Nicole Sporrer Registered Nurse 701 10th St Se, Cedar Rapids, IA 52403-1251 2020-04-28
1669003075 Keri Zimmerman Internal Medicine 701 10th St Se, Cedar Rapids, IA 52403-1251 2020-02-04
1033740311 Jessica Leigh Robinson Physician Assistant 701 10th St Se, Cedar Rapids, IA 52403-1251 2020-01-27
1144850389 Kendall Anne Deitering Speech-Language Pathologist 701 10th St Se, Cedar Rapids, IA 52403-1251 2020-01-16
1316586159 Lindsay Nicole Ehlers Nurse Practitioner 701 10th St Se, Cedar Rapids, IA 52403-1292 2019-12-26
1467007096 Hanna Bishop Molinari Nurse Practitioner 701 10th St Se, Cedar Rapids, IA 52403-1251 2019-08-09
1659931269 Jessica Bettmann Speech-Language Pathologist 701 10th St Se, Cedar Rapids, IA 52403-1292 2019-06-17
1013574250 William James Halls Pharmacist 701 10th St Se, Cedar Rapids, IA 52403-1251 2019-05-23
1851957732 Jennifer Lori Somerville Nurse Practitioner 701 10th St Se, Cedar Rapids, IA 52403-1251 2019-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093242083 Eric Burton Social Worker 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 2017-05-22
1619404613 Dylan Roberts Streb Family Medicine Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 2017-05-22
1760870851 Forefront Dermatology, S.c. Dermatology 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 2014-12-26
1801292883 Laura Pelechek Marriage & Family Therapist 1744 2nd Ave Se, Cedar Rapids, IA 52403 2014-11-18
1306090147 John Daniel Schuchmann Anesthesiology 3629 Random Road Se, Cedar Rapids, IA 52403 2008-11-06
1851564157 Cedar Rapids Medical Education Foundation Family Medicine 1260 Second Avenue S.e., Cedar Rapids, IA 52403 2008-04-08
1093866071 Mcld Corporation Durable Medical Equipment & Medical Supplies 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 2007-01-16
1154483980 James P Schuller Dentist 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 2006-12-15
1477640183 C R Iv Service Inc Home Health 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 2006-10-06
1104919638 C R Iv Service Inc Durable Medical Equipment & Medical Supplies 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 2006-10-02
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356636740 Angela Jo Hanson Pediatrics 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2011-06-14
1235464132 Mercy Physician Associates, Inc. Pediatrics 701 10th St Se, Cedar Rapids, IA 52403-1251 2009-10-09
1346446846 Mercycare Management Pediatrics 701 10th St Se, Cedar Rapids, IA 52403-1251 2007-06-22
1811042781 Andrew Carl Nordine Pediatrics 1026 A Ave Ne, Cwch 2-2, Cedar Rapids, IA 52402-5036 2007-01-23
1477516474 Dennis Rosenblum Pediatrics 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 2006-04-10
1518941087 Roger Lee Allen Pediatrics 701 10th St Se, Cedar Rapids, IA 52403-1251 2005-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932447034 Robert D. Shaw Pediatrics 13921 Lake Shore Dr, Des Moines, IA 50325-8643 2013-01-24
1588629729 Mir Ahmad Waziri Pediatrics 212 W Dale Street, Suite 302, Waterloo, IA 50703 2006-04-19
1790778777 Norma J Hirsch Pediatrics 401 Railroad Pl, West Des Moines, IA 50265-4730 2005-08-25
1568997674 Stephania Paulette Cavallaro-moronta Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2017-04-26
1861861775 Trassanee Chatmethakul Pediatrics 200 Hawkins Dr, Iowa City, IA 52242 2015-09-21
1376943175 Ranjani Ananth Pediatrics 1200 Pleasant St, Des Moines, IA 50309-1406 2014-08-28
1275823924 Olajide Olabanjo Dolapo Pediatrics 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 2011-04-14
1306158456 Brady J'nee Thomas Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2010-07-06
1740412766 Usama Younis Pediatrics 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 2009-08-10
1013172360 Michelle Nicole Kompare Pediatrics 3421 W 9th St, Waterloo, IA 50702-5401 2008-07-25
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Competitor

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City CEDAR RAPIDS
Zip Code 52403

Improve Information

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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.

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