MORTEZA FARASAT


Address: 777 Bannock St # Mc4000, Denver, CO 80204-4507
Phone: 3036023876

MORTEZA FARASAT (NPI# 1891849105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891849105
Entity Type Individual
Full Name MORTEZA FARASAT
Credential M.D.
Practice Address 777 Bannock St # Mc4000
Denver
CO 80204-4507
Practice Telephone 3036023876
Mailing Telephone 3036023876
Enumeration Date 2007-01-23
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
DR.0059590 CO Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036131516 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
611 W Park St, Urbana, IL 618012529 2173833210 2173833510

Office Location

Street Address 777 BANNOCK ST # MC4000
City DENVER
State CO
Zip Code 80204-4507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245671700 Sandhya Sharma Internal Medicine 777 Bannock St # Mc4000, Denver, CO 80204-4597 2013-07-12
1275793226 Kelly Patricia Ferraro Internal Medicine 777 Bannock St # Mc4000, Denver, CO 80204-4597 2008-06-12

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NPI Name Taxonomy Address Enumeration
1205483716 Pam Specialty Hospital of Denver LLC Long Term Care Hospital 1690 N Meade St, Denver, CO 80204 2019-08-20
1912468125 Rachel Vanderwel Student in an Organized Health Care Education/Training Program 777 Bancock Street, Mc 0108, Denver, CO 80204 2019-03-29
1831673391 Alexandra Wilcox Counselor 1175 Osage St, Suite 205, Denver, CO 80204 2018-09-20
1912480716 Arieye, Inc Ophthalmology 3120 W 19th Ave, Unit 3, Denver, CO 80204 2018-09-08
1144701053 Kristina Ann Petrosino Dental Hygienist 601 Broadway St., Denver, CO 80204 2018-08-28
1811474075 Lindsey Spraker Counselor 1175 Osage Street, Suite 205, Denver, CO 80204 2018-07-20
1427541887 Healthy Life Care LLC Home Health 500 Newton St, Denver, CO 80204 2018-06-11
1932601655 Emily Gispert Weaver Student in an Organized Health Care Education/Training Program 301 W. 6th Ave., Denver, CO 80204 2018-03-08
1144745928 Melisssa Wells Licensed Practical Nurse 1801 W. 13th Ave, Denver, CO 80204 2017-08-14
1689112948 Tyler Stephens Student in an Organized Health Care Education/Training Program 2233 Champa St., Denver, CO 80204 2017-02-07
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518570977 Scl Health Medical Group - Denver, LLC Internal Medicine 1960 N Ogden St Ste 540a, Denver, CO 80218-3666 2020-08-26
1730716655 Healthone Clinic Services - Cardiovascular LLC Internal Medicine 4700 Hale Pkwy Ste 200, Denver, CO 80220-4051 2020-03-23
1194115063 Howard Theodore Horsley Jr. Internal Medicine 302 Cook Street, Denver, CO 80206 2015-01-30
1265731707 Jose Miguel Sanchez Internal Medicine 777 Bannock St # Mc0960, Denver, CO 80204-4597 2011-03-23
1063737484 Carolinas Physicians Network Inc Internal Medicine 1585 Forney Creek Parkway, Suite 2200, Denver, NC 28037-9522 2010-03-29
1427289958 Henry J Beckwitt Md PC Internal Medicine 4101 W Conejos Pl Ste 300, Denver, CO 80204-1349 2009-07-31
1194909390 Karl Edward Hammermeister Internal Medicine 3000 East Cedar, #4 Polo Place, Denver, CO 80209 2007-12-24
1467465146 John D Hutcherson Internal Medicine 950 E Harvard Ave Ste 100, Denver, CO 80210-7007 2006-08-14
1477567113 Krishna K Sinha Internal Medicine 4120 Federal Blvd, Denver, CO 80211-1638 2006-07-28
1467448340 Thomas Stephen Crisman Internal Medicine 2253 Downing St., Denver, CO 80205 2005-09-26
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Competitor

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City DENVER
Zip Code 80204

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Dataset Information

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.

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