KAMRAN GOUDARZI SURGICAL PRACTICE PC (NPI# 1013494400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013494400 |
| Entity Type | Organization |
| Organization Name | KAMRAN GOUDARZI SURGICAL PRACTICE PC |
| Practice Address |
710 Military Cutoff Rd Ste 130 Wilmington NC 28405-2382 |
| Practice Telephone | 9107691079 |
| Practice Fax Number | 9107696023 |
| Mailing Telephone | 9107691079 |
| Mailing Fax Number | 9107696023 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | KAMRAN GOUDARZI (OWNER) |
| Authorized Official Telephone | 9107691079 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1099 Medical Center Dr, Wilmington, NC 284017346 | 9105993084 | 9102399419 |
| Street Address |
710 MILITARY CUTOFF RD STE 130 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28405-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972562593 | Kamran Goudarzi | Surgery | 710 Military Cutoff Rd Ste 130, Wilmington, NC 28405-2382 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
| 1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
| 1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
| 1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
| 1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
| 1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
| 1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
| 1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
| Find all providers in zip 28405 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145799 | Raymond R Noble | Surgery | 629 Kilburn Rd, Wilmington, DE 19803-1720 | 2018-12-16 |
| 1376022533 | Shawn Thomas Colwell | Surgery | 411 Dogwood Ln, Wilmington, NC 28409-5805 | 2018-08-08 |
| 1710128855 | Rachel Christine Lovano | Surgery | 630 W Main St Ste 304, Wilmington, OH 45177-2171 | 2009-03-19 |
| 1063685485 | Danielle Press | Surgery | 1401 Foulk Rd Ste 207, Wilmington, DE 19803-2764 | 2008-04-07 |
| 1437332491 | Timothy P Schirmer Md LLC | Surgery | 586 W Main St, Wilmington, OH 45177-2123 | 2007-12-13 |
| 1629293121 | Philip S Metz | Surgery | 1508 Meridian Ter, Wilmington, NC 28411-9263 | 2007-04-17 |
| 1902967557 | Payam John Kahen | Surgery | 714 N Avalon Blvd, Wilmington, CA 90744 | 2006-12-13 |
| 1548353741 | Warren Winslow Mcmurry | Surgery | 1411 Physicians Dr, Wilmington, NC 28401-7338 | 2006-10-02 |
| 1366553851 | Charles L Hobbs | Surgery | 1941 Limestone Rd Ste 213, Wilmington, DE 19808-5400 | 2006-08-31 |
| 1093823866 | Robert Daniel Mcgarrigle | Surgery | 700 Lea Blvd, Medical Arts Complex # 302, Wilmington, DE 19802 | 2006-08-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28405 |
Please comment or provide details below to improve the information on KAMRAN GOUDARZI SURGICAL PRACTICE PC.
| 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.