DR. FARID ZAHEDIEH (NPI# 1043693773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043693773 |
Entity Type | Individual |
Full Name | DR. FARID ZAHEDIEH |
Credential | M.D. |
Practice Address |
520 N 4th St Springfield IL 62702-5238 |
Mailing Address |
Po Box 19670 Springfield IL 62794-9670 |
Practice Telephone | 2175458000 |
Practice Fax Number | 2177471351 |
Mailing Telephone | 2175458000 |
Mailing Fax Number | 2177471351 |
Enumeration Date | 2015-06-30 |
Last Update Date | 2015-06-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
125.067868 | IL | Allopathic & Osteopathic Physicians |
Street Address |
520 N 4TH ST |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702-5238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023006913 | Janet R Albers | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2005-10-13 |
1316559529 | Andrea Dawn Peterson | Social Worker | 520 N 4th St, Springfield, IL 62702-5238 | 2020-08-19 |
1811505159 | Naila Manahil | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-07-22 |
1881211605 | Roxanne Bautista | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-06-27 |
1689298366 | Ibukunoluwa Oluwatoni Olapoju | Family Medicine | 520 N 4th St, Springfield, IL 62702 | 2020-05-29 |
1386267425 | George Hudson | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-23 |
1962025577 | Logan Tyler Garthe | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-19 |
1740802693 | Haroun Babajide Ogun | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-14 |
1952923153 | Hayley Hudson | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-11 |
1780206094 | Patrick Hale Long | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
Find all providers in zip 62702 |
Taxonomy Code | 207QA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adolescent Medicine |
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871513200 | Laura Pinkston Koenigs | Family Medicine | 50 Wason Ave, Springfield, MA 01107-1274 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
1548492234 | 63rd Advanced Health Clinic Inc | Family Medicine | 1249 W 63rd St, Chicago, IL 60636-1947 | 2009-08-14 |
1346258654 | Constance Susan Kemp | Family Medicine | 1220 Douglas Dr, Carbondale, IL 62901-4029 | 2006-08-03 |
1275553240 | Farooq Masood Ahmed | Family Medicine | 5200 Main St Ste 201, Family Practice/dept of Geriatrics, Skokie, IL 60077-2100 | 2006-07-20 |
1437149143 | Donald Harvey Dexter | Family Medicine | 1601 Tower Rd, Macomb, IL 61455-9717 | 2005-10-24 |
1518969518 | Ghousia Begum Ali | Family Medicine | 2136 W Devon Ave, Chicago, IL 60659-2127 | 2005-08-10 |
1568099380 | Bianca Jenkins | Family Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2020-03-23 |
1740779024 | Karen Batty | Family Medicine | 3000 S King Dr, Chicago, IL 60616-3452 | 2018-05-02 |
1639455173 | Rush-copley Medical Group Nfp | Family Medicine | 2040 Ogden Ave, Suite 303, Aurora, IL 60504-7206 | 2011-10-28 |
Find all providers with the same taxonomy |
City | SPRINGFIELD |
Zip Code | 62702 |
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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.