NASROLA EDALATPOUR (NPI# 1003911405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003911405 |
| Entity Type | Individual |
| Full Name | NASROLA EDALATPOUR |
| Credential | MD |
| Practice Address |
12 High St Ste 401 Lewiston ME 04240-7634 |
| Mailing Address |
501 Morning Star Ln Newport Beach CA 92660-5714 |
| Practice Telephone | 2077955709 |
| Mailing Telephone | 9496836286 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | A17801 | CA | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | TD-05-102 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
12 HIGH ST STE 401 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838570 | David Clark Caldwell | Internal Medicine | 12 High St, Ste 205, Lewiston, ME 04240-7676 | 2005-06-01 |
| 1750991014 | Kayla Ann Harris | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2020-08-03 |
| 1063046597 | Angelica Leah Estes-lebrun | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2020-02-24 |
| 1154988046 | Joseph Renda IIi | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2019-05-26 |
| 1750862769 | Alex Beggs | Internal Medicine | 12 High St, Lewiston, ME 04240-7676 | 2018-08-27 |
| 1912488149 | Jared J Morin | Nurse Practitioner | 12 High St, Lewiston, ME 04240-7676 | 2018-08-26 |
| 1194201988 | Kaitlyn Bernard | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2018-07-14 |
| 1801347604 | Jennifer-lynn Flynn | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7676 | 2016-10-18 |
| 1578916706 | Jeffrey Robertson | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2016-07-23 |
| 1962854786 | Brianna Boutin | Nurse Practitioner | 12 High St, Suite 301, Lewiston, ME 04240-7676 | 2016-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356424659 | Victor T Ho | Neurological Surgery | 77 Bates St Ste 103, Lewiston, ME 04240-7637 | 2006-10-23 |
| 1780620765 | Donald S Soloniuk | Neurological Surgery | 324 5th St, Suite 101, Lewiston, ID 83501-2408 | 2006-06-20 |
| 1619074903 | Daniel Lacerte | Neurological Surgery | 12 High St, Suite 401, Lewiston, ME 04240-7676 | 2006-09-20 |
| 1750484200 | Tarek A.h. Radwan | Neurological Surgery | 12 High St, Ste. 401, Lewiston, ME 04240-7676 | 2006-09-07 |
| 1609856335 | Patricio Mujica | Neurological Surgery | 12 High St, Ste 401, Lewiston, ME 04240-7634 | 2006-01-19 |
| 1336128073 | Guillermo J Candia | Neurological Surgery | 12 High St, Ste 401, Lewiston, ME 04240-7634 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023292372 | Julius E Ciembroniewicz Md Pa | Neurological Surgery | 76 Eastern Avenue, Augusta, ME 04330-5846 | 2007-12-21 |
| 1962446724 | Northeast Neurosurgery, P.a. | Neurological Surgery | 498 Essex St, Suite 104, Bangor, ME 04401-3990 | 2006-06-15 |
| 1356389910 | Brain & Spine Specialists LLC | Neurological Surgery | 2411 W Belvedare Avenue, Suite 502, Baltimore, ME 21215-5228 | 2006-06-03 |
| 1447248802 | James W Turner | Neurological Surgery | 417 State St Ste 221, Bangor, ME 04401-6630 | 2005-10-10 |
| 1689104234 | Michael Paci | Neurological Surgery | 417 State St Ste 221, Bangor, ME 04401 | 2017-06-15 |
| 1881968543 | Rudolph Daniel Marciano IIi | Neurological Surgery | 417 State Street, Webber East, Ste 221, Bangor, ME 04401 | 2012-02-28 |
| 1730479817 | Michael Cohen | Neurological Surgery | 417 State St Ste 221, Bangor, ME 04401-6630 | 2011-04-11 |
| 1760618862 | James M Macnutt | Neurological Surgery | 417 State Street, Webber East Building Suite 221, Bangor, ME 04401 | 2009-06-03 |
| 1457528010 | Mahmoud Hamdy Ibrahim Kamel | Neurological Surgery | 489 State Street, Eastern Maine Medical Center / Dept. of Neurosurgery, Bangor, ME 04401 | 2008-05-13 |
| 1295924777 | Susan Catherine Williams | Neurological Surgery | 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 | 2007-10-19 |
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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.