SINA NEZAKAT (NPI# 1548895568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548895568 |
Entity Type | Individual |
Full Name | SINA NEZAKAT |
Credential | PA-C |
Practice Address |
1068 Cresthaven Rd Ste 250 Memphis TN 38119-0809 |
Mailing Address |
1407 Union Ave Ste 700 Memphis TN 38104-3641 |
Practice Telephone | 9018668384 |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-03-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1068 CRESTHAVEN RD STE 250 |
City | MEMPHIS |
State | TN |
Zip Code | 38119-0809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851694848 | Karol Latonya Maclin | Nurse Practitioner | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0800 | 2010-12-13 |
1871075994 | Wendy W Mink | Nurse Practitioner | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2018-09-05 |
1649568395 | Sanjeet V Rangarajan | Otolaryngology | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2011-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
Find all providers in zip 38119 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821523119 | Benjamin Scott James | Physician Assistant | 109 N Barksdale St, Memphis, TN 38104-7613 | 2017-04-25 |
1184091407 | Melissa Ball Foner | Physician Assistant | 493 Dr Ml King Jr Ave, Memphis, TN 38126-2548 | 2015-08-24 |
1740686302 | Rachel Anna Brownfield | Physician Assistant | 5658 S Rex Rd, Memphis, TN 38119-3822 | 2014-11-10 |
1043445380 | Mary Boland Hamilton | Physician Assistant | 80 Humphreys Suite 230, Memphis, TN 38117 | 2009-05-15 |
1548418767 | Amy Bolt Miller | Physician Assistant | 5658 S Rex Rd # 200, Memphis, TN 38119-3822 | 2008-08-29 |
1841386182 | Amy Kerns | Physician Assistant | 6063 Mt Moriah Rd Ext Ste 4, Memphis, TN 38115-2665 | 2006-10-05 |
1366467979 | Diane Norrby | Physician Assistant | 3150 Lenox Park Blvd Ste 214, Memphis, TN 38115-4396 | 2006-07-13 |
1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
1043850241 | Sara Beth Brauninger | Physician Assistant | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2020-01-15 |
Find all providers in MEMPHIS |
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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.