DR. ALIREZA K ANISSIPOUR (NPI# 1033352968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033352968 |
| Entity Type | Individual |
| Full Name | DR. ALIREZA K ANISSIPOUR |
| Credential | D.O. |
| Practice Address |
3726 Broadway Suite 201 Everett WA 98201-3787 |
| Mailing Address |
1728 W Marine View Dr Suite 110 Everett WA 98201-2094 |
| Practice Telephone | 4253179119 |
| Mailing Telephone | 4252594041 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2017-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | OP60435741 | WA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
OP60435741 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1033352968 | 05 |
| Street Address |
3726 BROADWAY SUITE 201 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144277724 | Rebecca S Souza | Physician Assistant | 3726 Broadway, Suite 201, Everett, WA 98201-3787 | 2006-05-28 |
| 1710429063 | Gateway Anesthesia Services, Pllc | Anesthesiology | 3726 Broadway, Everett, WA 98201-3787 | 2016-11-16 |
| 1912456260 | U.S. Healthworks Medical Group of Washington, Ps | Preventive Medicine | 3726 Broadway, Suite 101, Everett, WA 98201-3787 | 2016-09-28 |
| 1598118226 | Laboratory Corporation of America | Clinical Medical Laboratory | 3726 Broadway, Suite 202, Everett, WA 98201-3787 | 2016-07-18 |
| 1225401813 | Scott Price | Specialist/Technologist | 3726 Broadway, Suite 104, Everett, WA 98201-3787 | 2015-11-05 |
| 1942697404 | Hailey Johnson | Physical Therapy Assistant | 3726 Broadway, #104, Everett, WA 98201-3787 | 2015-04-22 |
| 1972994523 | Heajung Yoon | Occupational Therapy Assistant | 3726 Broadway, #104, Everett, WA 98201-3787 | 2015-02-17 |
| 1407247059 | Rebekah Reed | Physical Therapy Assistant | 3726 Broadway, #104, Everett, WA 98201-3787 | 2015-02-17 |
| 1598167074 | Jon Pennington | Physician Assistant | 3726 Broadway, Suite 201, Everett, WA 98201-3787 | 2014-09-16 |
| 1518202894 | Katherine Anne Schweitzer | Occupational Therapist | 3726 Broadway, #104, Everett, WA 98201-3787 | 2012-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831499755 | Providence Health & Services-wa | Orthopaedic Surgery | 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 | 2010-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891115085 | Alexander H. Arzeno | Orthopaedic Surgery | 510 8th Ave Ne Ste 200, Issaquah, WA 98029-5436 | 2014-04-26 |
| 1922334804 | Alpine Orthopaedic and Spine A Professional Corporation | Orthopaedic Surgery | 212 E Central Ave Ste 365, Spokane, WA 99208-6291 | 2009-10-27 |
| 1912110933 | Virgil V Becker Jr Jd Md Inc Ps | Orthopaedic Surgery | 125 3rd St Ne Ste 401, Auburn, WA 98002-4035 | 2007-05-07 |
| 1003904434 | Farouq A Al-hamdan | Orthopaedic Surgery | 119 S 14th St, Mount Vernon, WA 98274-4114 | 2006-10-11 |
| 1366549040 | Antoine G. Tohmeh | Orthopaedic Surgery | 605 E Holland Ave Ste 200, Spokane, WA 99218-1246 | 2006-09-17 |
| 1447298021 | Paul Edward Schwaegler | Orthopaedic Surgery | 550 16th Ave Ste 404, Seattle, WA 98122-5636 | 2006-06-03 |
| 1588640361 | Michael A Chang | Orthopaedic Surgery | 1211 N 16th Ave, Yakima, WA 98902-1347 | 2005-12-22 |
| 1144228750 | Alan Burchard Brown | Orthopaedic Surgery | 1427 116th Ave Ne, Bellevue, WA 98004-3807 | 2005-07-08 |
| 1699328278 | Bilal Izzat Qutteineh | Orthopaedic Surgery | 550 17th Ave Ste 500, Seattle, WA 98122-5789 | 2019-07-22 |
| 1063924116 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 801 Broadway Ste 617, Seattle, WA 98122-4319 | 2017-10-30 |
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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.