DR. MORTEZA MONTAZERI (NPI# 1619914421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619914421 |
Entity Type | Individual |
Full Name | DR. MORTEZA MONTAZERI |
Credential | M.D. |
Practice Address |
910 Sw 38th St Lawton OK 73505-7013 |
Practice Telephone | 5803576700 |
Practice Fax Number | 5803579912 |
Mailing Telephone | 5803576700 |
Mailing Fax Number | 5803579912 |
Enumeration Date | 2006-06-01 |
Last Update Date | 2008-11-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 13452 | OK | Other Service Providers |
Street Address |
910 SW 38TH ST |
City | LAWTON |
State | OK |
Zip Code | 73505-7013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306804570 | Anne Mcclure | Physical Therapist | 910 Sw 38th St, Suite C, Lawton, OK 73505-7013 | 2006-05-03 |
1457653032 | Family Psychiatric Services | Psychiatry & Neurology | 910 Sw 38th St, Suite B, Lawton, OK 73505-7013 | 2010-12-02 |
1205082898 | Morteza Montazeri,m.d.inc | Specialist | 910 Sw 38th St, Suite#a, Lawton, OK 73505-7013 | 2008-08-14 |
1245431667 | Physical Therapy Solutions, P.C. | Physical Therapist | 910 Sw 38th St, Suite C, Lawton, OK 73505-7013 | 2007-05-31 |
1295750784 | Khanh Van Tran | Psychiatry & Neurology | 910 Sw 38th St, Ste B, Lawton, OK 73505-7013 | 2006-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962899567 | Michael Garza | Specialist | 4400 E Gore Blvd, Lawton, OK 73501-6245 | 2015-04-21 |
1750438032 | American Dialysis Inc | Specialist | 1819 W Gore Blvd, Lawton, OK 73501-3614 | 2007-01-05 |
1790880391 | Advanced Health Systems of America, PC | Specialist | 3805 W Gore Blvd, Lawton, OK 73505-6334 | 2006-09-14 |
1396854824 | David Paul Vogel | Specialist | 5606 Sw Lee Blvd, Suite 306, Lawton, OK 73505-9688 | 2006-08-29 |
1811938087 | Maria R. Rivera | Specialist | 4008 Nw Cache Rd, Lawton, OK 73505-3634 | 2006-06-09 |
1245575745 | Cheryl Ann Butler | Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2012-12-10 |
1609133669 | Albert Arredondo Anesthesia Pllc | Specialist | 4202 Sw Lee Blvd, Bldg B Suite A, Lawton, OK 73505-8300 | 2012-04-16 |
1316245954 | Kim Elise Bartlett | Specialist | 602 Sw 38th Street, Lawton, OK 73505-6912 | 2011-03-07 |
1205082898 | Morteza Montazeri,m.d.inc | Specialist | 910 Sw 38th St, Suite#a, Lawton, OK 73505-7013 | 2008-08-14 |
1215196308 | Nadim F. Nimeh, Md | Specialist | 5002 Sw Lee Blvd, Lawton, OK 73505-8320 | 2008-06-04 |
Find all providers in LAWTON |
Please comment or provide details below to improve the information on DR. MORTEZA MONTAZERI.
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.