DR. MOHAMMAD R. MOSTAFAVI (NPI# 1649240755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649240755 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD R. MOSTAFAVI |
| Credential | M.D. |
| Practice Address |
3640 Main St Suite 103 Springfield MA 01107-1145 |
| Practice Telephone | 4137855321 |
| Practice Fax Number | 4137317130 |
| Mailing Telephone | 4137855321 |
| Mailing Fax Number | 4137317130 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2009-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 151357 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
3640 MAIN ST SUITE 103 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508851411 | Mark A Jackowitz | Specialist | 3640 Main St, Suite 205, Springfield, MA 01107-1145 | 2005-09-16 |
| 1578093027 | Kathryn Ann Janikas | Physician Assistant | 3640 Main St, Springfield, MA 01107-1145 | 2017-06-18 |
| 1750818456 | Urologic Surgeons of New England, LLC | Urology | 3640 Main St, Suite 103, Springfield, MA 01107-1145 | 2017-05-12 |
| 1518324904 | Ryan Leigh Macdonald | Physician Assistant | 3640 Main St, Suite 302, Springfield, MA 01107-1145 | 2016-01-15 |
| 1750766853 | K. Francis Lee, M.d., P.C. | Surgery | 3640 Main St, Suite 302, Springfield, MA 01107-1145 | 2015-07-30 |
| 1053742098 | Michelle Sheehan | Nurse Practitioner | 3640 Main St, Suite 208, Springfield, MA 01107-1145 | 2013-12-02 |
| 1821435553 | Chelmsford Mri, P.C. | Radiology | 3640 Main St, Suite 101, Springfield, MA 01107-1145 | 2013-06-04 |
| 1134465545 | K. Francis Lee, M.d., P.C. | Surgery | 3640 Main St, Suite 302, Springfield, MA 01107-1145 | 2012-12-13 |
| 1831447820 | Gina Marie Lewis | Physician Assistant | 3640 Main St, Springfield, MA 01107-1145 | 2012-08-22 |
| 1376805978 | Paul Sciarretta | Technician/Technologist | 3640 Main St, Suite 206, Springfield, MA 01107-1145 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1427121714 | David R Kelley | Urology | 100 Wason Anenue, Suite 120, Springfield, MA 01107-1119 | 2006-11-16 |
| 1942373311 | Charles D Parsons | Urology | 202 S Belmont Ave, Springfield, OH 45505-1224 | 2006-11-15 |
| 1447321781 | Pbm Urology Ltd | Urology | 1215 S 4th St, Springfield, IL 62703-2259 | 2006-11-10 |
| 1013019439 | Alexander M Berry | Urology | 100 Wason Ave, Suite 240, Holyoke Medicacal Center - Urology, Springfield, MA 01107 | 2006-09-05 |
| 1972615748 | Thomas E. Baron | Urology | 800 N. 1st Street, Springfield, IL 62702 | 2006-08-31 |
| 1265405914 | Eric Espinosa | Urology | 1164 E Home Rd, Suite J, Springfield, OH 45503-2726 | 2006-02-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.