SIAMAK SHOKROLLAHI (NPI# 1861979528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861979528 |
| Entity Type | Individual |
| Full Name | SIAMAK SHOKROLLAHI |
| Practice Address |
1 Joslin Pl Boston MA 02215-5394 |
| Practice Telephone | 6173092400 |
| Mailing Telephone | 6173092400 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
274742 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1 JOSLIN PL |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851380307 | Steven E Shoelson | Internal Medicine | 1 Joslin Pl, Joslin Diabetes Center, Boston, MA 02215-5306 | 2005-10-18 |
| 1609488626 | Marissa Leigh Bunnewith | Dietitian, Registered | 1 Joslin Pl, Boston, MA 02215-5394 | 2020-08-20 |
| 1285258236 | Cris Martin Pacis Jacoba | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2020-06-05 |
| 1497241962 | Omar Mohammed Abdelal | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2018-07-07 |
| 1689162885 | Yu Wang | Nurse Practitioner | 1 Joslin Pl, Boston, MA 02215-5306 | 2018-04-24 |
| 1497263974 | Fioralda Kico | Nurse Practitioner | 1 Joslin Pl, Boston, MA 02215-5306 | 2018-01-18 |
| 1407375280 | Amanda Lyn Sheehan | Nurse Practitioner | 1 Joslin Pl, Boston, MA 02215-5306 | 2017-09-13 |
| 1437673548 | Persis Commissariat | Psychologist | 1 Joslin Pl, Boston, MA 02215 | 2017-07-31 |
| 1982126769 | Mohamed Ashraf Elmasry | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2017-07-12 |
| 1881140242 | Katherine Dempsey | Nurse Practitioner | 1 Joslin Pl, Boston, MA 02215-5306 | 2016-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869839 | Brian Ballios | Ophthalmology | 243 Charles St Rm 319, Boston, MA 02114-3002 | 2020-07-30 |
| 1285258236 | Cris Martin Pacis Jacoba | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2020-06-05 |
| 1497241962 | Omar Mohammed Abdelal | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2018-07-07 |
| 1982126769 | Mohamed Ashraf Elmasry | Ophthalmology | 1 Joslin Pl, Boston, MA 02215-5306 | 2017-07-12 |
| 1205361763 | Alex Umali Pisig | Ophthalmology | One Joslin Place, Beetham Eye Institute, Joslin Diabetes Center, Boston, MA 02215 | 2017-04-21 |
| 1255495651 | Vasiliki Poulaki | Ophthalmology | 243 Charles St, Boston, MA 02114 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843937 | North Shore Retina Pllc | Ophthalmology | 900 Cummings Ctr Ste 308v, Beverly, MA 01915-6181 | 2020-08-24 |
| 1710953690 | Shahrokh Charles Khani | Ophthalmology | 900 Cummings Center, Suite 303v, Beverly, MA 01915-6181 | 2006-02-28 |
| 1104303858 | Elite Bor-shavit | Ophthalmology | 479 Old Union Tpke, Lancaster, MA 01523 | 2018-07-25 |
| 1194957803 | S. Charles Khani, M.d. Phd, P.C. | Ophthalmology | 900 Cummings Ctr, Suite 308v, Beverly, MA 01915-6198 | 2009-08-13 |
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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.