NASIM MASTOURI (NPI# 1710121132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710121132 |
| Entity Type | Individual |
| Full Name | NASIM MASTOURI |
| Practice Address |
1005 Bellefontaine Ave Suite 230 Lima OH 45804-2851 |
| Mailing Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Practice Telephone | 4199988255 |
| Practice Fax Number | 4192268335 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35.120131 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810024141 | 05 | |
| OH | 0072864 | 05 |
| Street Address |
1005 BELLEFONTAINE AVE SUITE 230 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313171 | Marcus F Cox | Surgery | 1005 Bellefontaine Ave, Suite 260, Lima, OH 45804-2851 | 2005-08-10 |
| 1003196114 | Stacy Jo Klass | Nurse Practitioner | 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804-2851 | 2011-08-19 |
| 1871746735 | Cynthia Grace Trent | Nurse Practitioner | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2008-10-23 |
| 1215109145 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 150, Lima, OH 45805 | 2008-04-01 |
| 1558542522 | Kerry Ann Stedke | Physician Assistant | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-11-19 |
| 1457565061 | Margarite Marie Angelopoulos | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2007-05-10 |
| 1285789362 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-01-25 |
| 1497806897 | Jennifer Fern Niesen | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-01-15 |
| 1669521423 | Judith E Rigoni | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2007-01-10 |
| 1730247636 | Daniel Michael Callisto | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588686794 | Glenn Allen Bryant IIi | Internal Medicine | 1005 Bellefontaine Ave, Suite 230, Lima, OH 45804-2851 | 2006-07-24 |
| 1194744201 | Kidney & Hypertension Associates, Inc. | Internal Medicine | 750 W High St, Suite 150, Lima, OH 45801-2969 | 2006-07-19 |
| 1801866009 | James David Cargill | Internal Medicine | 750 W High St, Suite 150, Lima, OH 45801-3959 | 2006-01-23 |
| 1093795650 | Norman Otis Moser | Internal Medicine | 750 W High St, Suite 150, Lima, OH 45801-3959 | 2006-01-19 |
| 1235119884 | David Lee Imler | Internal Medicine | 750 W High St, Suite 150, Lima, OH 45801-3959 | 2006-01-19 |
| 1588644140 | Jonah Onuoha Ukiwe | Internal Medicine | 750 W High St, Suite 150, Lima, OH 45801-3959 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
| 1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
| 1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
| 1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
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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.