AZADEH GOLKAR (NPI# 1508290404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508290404 |
Entity Type | Individual |
Full Name | AZADEH GOLKAR |
Credential | RN, MSN, FNP-C |
Practice Address |
3655 Vista Avenue Cancer Center - 2nd Floor St. Louis MO 63110-2539 |
Mailing Address |
3655 Vista Avenue - 3rd Floor St. Louis MO 63110 |
Practice Telephone | 3145776057 |
Practice Fax Number | 3142687556 |
Mailing Telephone | 3145778854 |
Mailing Fax Number | 3147731167 |
Enumeration Date | 2013-08-27 |
Last Update Date | 2013-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013000131 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3655 VISTA AVENUE CANCER CENTER - 2ND FLOOR |
City | ST. LOUIS |
State | MO |
Zip Code | 63110-2539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316032741 | Sagun D Goyal | Internal Medicine | 3655 Vista Avenue, St. Louis, MO 63110 | 2006-10-03 |
1952831208 | Jorge Fernando Urquiaga | Neurological Surgery | 3655 Vista Avenue, 2nd Floor West Pavilion, St. Louis, MO 63110 | 2017-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
Find all providers in zip 63110 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1316553118 | Chelsea Ann Garbs | Nurse Practitioner | 1249 Woodland Point Dr Unit E, St. Louis, MO 63146 | 2020-09-17 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
1194199422 | Susan Clifton | Nurse Practitioner | Bjc St. Louis Children's Hospital, St. Louis, MO 63110 | 2015-11-24 |
1689903502 | Marta Christine Rubel | Nurse Practitioner | 216 South Kinghighway, St. Louis, MO 63110 | 2009-12-24 |
1316135486 | Christina Michelle Blaesing | Nurse Practitioner | 3015 North Ballas Road, Missouri Baptist Medical Center - Orthopedics, St. Louis, MO 63131-7926 | 2007-10-13 |
1518167006 | Jodi Koechner | Nurse Practitioner | 441 Kirkwood, St. Louis, MO 63122 | 2007-07-23 |
1083678528 | Debra A. Schuerman | Nurse Practitioner | 3860 S. Lindbergh Blvd, Suite 108, St. Louis, MO 63127 | 2006-04-13 |
Find all providers in ST. LOUIS |
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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.