NICOLE NEGAR MEHRAZAR (NPI# 1770029522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770029522 |
| Entity Type | Individual |
| Full Name | NICOLE NEGAR MEHRAZAR |
| Credential | PA-C |
| Practice Address |
7955 Tuckerman Ln Rockville MD 20854-3243 |
| Practice Telephone | 8663892727 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C06325 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6830 Hospital Dr Ste 106, Rosedale, MD 212374375 | 4104068204 |
| Street Address |
7955 TUCKERMAN LN |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20854-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134191836 | Minuteclinic LLC | Physician Assistant | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2006-02-06 |
| 1649884982 | Abdulreuf Mohammed Kimo | Pharmacist | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2020-09-03 |
| 1730734146 | Althea Graham | Nurse Practitioner | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2019-08-03 |
| 1396201968 | Jeena D Amaya | Physician Assistant | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2019-02-19 |
| 1306312541 | Shannon Marissa Larmooh | Nurse Practitioner | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2018-10-15 |
| 1780170696 | Alicia Hyder | Physician Assistant | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2018-07-03 |
| 1306365507 | Jared Stephen Sharp | Nurse Practitioner | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2017-09-19 |
| 1720503774 | Brian W. Ogweno | Pharmacist | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2017-08-11 |
| 1467992297 | Cvs Aoc Services, L.L.C. | Audiologist | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2017-02-27 |
| 1043761992 | Sarah Ruth Coughlin | Nurse Practitioner | 7955 Tuckerman Ln, Rockville, MD 20854-3243 | 2016-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750810032 | Zhen Zhao | Pathology | 10405 Democracy Ln, Potomac, MD 20854 | 2017-06-08 |
| 1821544602 | Candace Nuzzo Michiels | Speech-Language Pathologist | 11614 Seven Locks Road, Ivymount School, Rockville, MD 20854 | 2016-08-31 |
| 1790156131 | Navneet Dhaliwal | Dentist | 12620 Greenbriar Rd, Potomac, MD 20854 | 2015-10-12 |
| 1407276082 | Benjamin G Shapero | Psychologist | 7825 Tuckerman Ln Ste 209, Potomac, MD 20854 | 2014-04-22 |
| 1497192272 | Nadia Yusuf | Psychiatry & Neurology | 1201 Seven Locks Rd Ste 101, Rockville, MD 20854 | 2013-06-03 |
| 1669719480 | Bradlee Levine | Dentist | 7811 Montrose Rd. Suite 300, Potomac, MD 20854 | 2013-01-14 |
| 1609123199 | Marie Makandjo | Home Health Aide | 10532 Sunny Brook Ln, Potomac, MD 20854 | 2012-08-14 |
| 1902183262 | Viran Seneviratne | Pharmacist | 1597 Kimble Wick Road, Rockville, MD 20854 | 2011-11-14 |
| 1790083608 | Joy Hope Samuels-reid | Pediatrics | 8821 Bells Mill Rd, Potomac, MD 20854 | 2011-03-02 |
| 1386944429 | Margaret Z Treseler | Physical Therapist | Specialized Women's Physical Therapy, LLC, 7825 Tuckerman Lane, Suite 211, Potomac, MD 20854 | 2010-10-22 |
| Find all providers in zip 20854 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1740899178 | Annie Jung Kim | Physician Assistant | 1801 Chapman Ave Apt 269, Rockville, MD 20852-5659 | 2020-07-31 |
| 1437625464 | Michael Xiaobo Tang | Physician Assistant | 121 Congressional Ln Ste 409, Rockville, MD 20852-1542 | 2018-10-17 |
| 1821577412 | Rachel Ghaman | Physician Assistant | 2301 Research Blvd Ste 215, Rockville, MD 20850 | 2018-08-14 |
| 1740719483 | Tao Jiang | Physician Assistant | 9660 Traville Gateway Dr, Rockville, MD 20850-7462 | 2017-06-07 |
| 1174073332 | Pavithra Gowda | Physician Assistant | 11921 Rockville Pike Ste 505, Rockville, MD 20852-2758 | 2016-10-11 |
| 1215330089 | Emmy-lou Olivia Dickinson | Physician Assistant | 9905 Medical Center Dr Ste 200, Rockville, MD 20850-6535 | 2014-10-07 |
| 1689091126 | Shana Subram | Physician Assistant | 13420 Bartlett St, Rockville, MD 20853-2938 | 2014-03-22 |
| 1033541982 | Jennifer Diane Treat | Physician Assistant | 11300 Rockville Pike Ste 1100, Rockville, MD 20852-3012 | 2013-08-02 |
| 1881808905 | Calvin Samuel Spinner | Physician Assistant | 5600 Fisher Ln, Rockville, MD 20857-0001 | 2007-05-09 |
| Find all providers in ROCKVILLE | ||||
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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.