REZA MOGHADDASNIA (NPI# 1952942666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952942666 |
| Entity Type | Individual |
| Full Name | REZA MOGHADDASNIA |
| Credential | PA-C |
| Practice Address |
8600 Old Georgetown Rd Bethesda MD 20814-1422 |
| Mailing Address |
2303 Fox Fire Ct Reston VA 20191-4605 |
| Practice Telephone | 3018963100 |
| Mailing Telephone | 7033761547 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
C0007346 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
8600 OLD GEORGETOWN RD |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311035 | Steven Wilks | Family Medicine | 8600 Old Georgetown Rd, Attn: Medical Staff Office/angela Speck, Bethesda, MD 20814-1422 | 2005-07-29 |
| 1730793506 | Precious Chinagoro Ohagwu | Pharmacist | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2020-08-31 |
| 1124637418 | Umair Ansari | Pharmacist | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2020-07-23 |
| 1457989949 | Hajafatmata Binta Bah | Family Medicine | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2020-03-30 |
| 1801423413 | Karalyn Rabin | Registered Nurse | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2020-03-24 |
| 1578104691 | Jordan Leigh Kestler | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2019-09-30 |
| 1306496856 | Carlyn Marie Russell | Nurse Practitioner | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-09-17 |
| 1144880477 | Olivia Tullier | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-06-18 |
| 1699231563 | Samora Charles Lungu | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-02-15 |
| 1982160891 | Blaine Gray | Nurse Practitioner | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851353981 | Philip Wayne Perdue | Surgery | 8901 Wisconsin Avenue, Department of Surgery, National Naval Medical Center, Bethesda, MD 20889-0001 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649613845 | Howard R Champion | Surgery | 954 Melvin Rd, Annapolis, MD 21403-1316 | 2013-04-08 |
| 1669730081 | Christian Damone Cain | Surgery | 22 S Greene St Dept Of, Baltimore, MD 21201 | 2012-04-24 |
| 1033485289 | Marcie Feinman | Surgery | 2435 W. Belvedere Ave. Suite 42, Hoffberger Building, Baltimore, MD 21215 | 2012-03-31 |
| 1962506436 | Vicki Elaine Reese | Surgery | 12146 Sweet Clover Dr, Silver Spring, MD 20904-1866 | 2006-09-12 |
| 1093725301 | Jeffrey Paul Muench | Surgery | 11119 Rockville Pike Ste 409, Rockville, MD 20852 | 2006-08-09 |
| 1285661314 | Eldon Leon Hawbaker | Surgery | 11912 Indian Ln, Hagerstown, MD 21742-4204 | 2006-06-26 |
| 1003311754 | Evan Wong | Surgery | 1800 Orleans St Ste 6107, Baltimore, MD 21287 | 2018-03-26 |
| 1639684434 | Jonathan James Morrison | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2017-12-04 |
| 1700256559 | Dimensions Healthcare Associates, Inc | Surgery | 2900 Mercy Ln, 2nd Floor, Cheverly, MD 20785-1157 | 2015-10-05 |
| 1124448162 | Patrick Franklin Walker | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-04-17 |
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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.