HOMAYOUN REZA AHMADIAN (NPI# 1003070129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003070129 |
| Entity Type | Individual |
| Full Name | HOMAYOUN REZA AHMADIAN |
| Credential | D.O. |
| Practice Address |
8060 Wolf River Blvd Germantown TN 38138-1727 |
| Mailing Address |
63 Volterra San Antonio TX 78258-1612 |
| Practice Telephone | 9012711000 |
| Practice Fax Number | 9012714187 |
| Mailing Telephone | 9016050522 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
3601 | TN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Q4002 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
02003643A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8060 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367490 | Richard Joseph Gordon | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2005-06-24 |
| 1487251617 | Kristina Marie Whitten | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2020-10-01 |
| 1619439601 | Lauren K Rainbolt | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2019-04-01 |
| 1891254975 | Ailyssin C Dacus | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2019-03-18 |
| 1881159903 | Lindsey Tartera | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138 | 2019-02-02 |
| 1407364318 | Kristen Joy Page | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2018-01-12 |
| 1669991998 | Melissa Downs Reid | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138 | 2017-09-19 |
| 1407374002 | Charles Blaine Williams | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2017-09-03 |
| 1851817001 | Elizabeth Diane Zacher | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2017-08-19 |
| 1285174342 | Cameron Michael Crutchfield | Nurse Practitioner | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2017-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700973625 | Proactive Heart & Vascular, Pllc | Internal Medicine | 7751 Wolf River Blvd, Germantown, TN 38138-1706 | 2006-10-10 |
| 1811901697 | Richard J. Wakefield | Internal Medicine | W180n11070 River Ln, Germantown, WI 53022 | 2006-07-28 |
| 1205866332 | Efstathios S Naum | Internal Medicine | W180n11070 River Lin, Germantown, WI 53022 | 2006-07-04 |
| 1083614572 | James J Stamper | Internal Medicine | 7460 Wolf River Boulevard, Germantown, TN 38138 | 2005-07-26 |
| 1558367490 | Richard Joseph Gordon | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2005-06-24 |
| 1568465482 | Brenda J Richardson | Internal Medicine | 7205 Wolf River Blvd, Ste 201, Germantown, TN 38138-1746 | 2005-05-24 |
| 1992101356 | Cardiovascular Specialists of Germantown LLC | Internal Medicine | 12800 Middlebrook Rd, Suite # 114, Germantown, MD 20874-5204 | 2014-11-13 |
| 1972867422 | David Madison Flatt | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2012-06-29 |
| 1821352220 | Ei K Swe | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2012-06-29 |
| 1104184100 | Mark J Kaeppler | Internal Medicine | W180n11070 River Ln, Germantown, WI 53022-3109 | 2012-04-26 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on HOMAYOUN REZA AHMADIAN.
| 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.