FAROOQ MIRZA (NPI# 1073625430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073625430 |
| Entity Type | Individual |
| Full Name | FAROOQ MIRZA |
| Credential | M.D. |
| Practice Address |
333 N Santa Rosa Ave Christus Santa Rosa Childrens Hospital San Antonio TX 78207-3108 |
| Mailing Address |
110 Painted Post Ln Shavano Park TX 78231-1414 |
| Practice Telephone | 2107042011 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
F5657 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396039368 | Farooq Mirza | Surgery | 177 Fort Washington Ave, New York, NY 10032-3733 | 2011-06-07 |
| 1245259910 | Farooq A Mirza | Surgery | 309 11th St, Carrollton, KY 41008-1435 | 2006-07-19 |
| Street Address |
333 N SANTA ROSA AVE CHRISTUS SANTA ROSA CHILDRENS HOSPITAL |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008473 | David Dionisio Ortiz | Family Medicine | 333 N Santa Rosa Ave, 4th Floor, Clinic C, San Antonio, TX 78207-3108 | 2005-07-27 |
| 1134358286 | Nancy Hadley | Nurse Practitioner | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2009-07-10 |
| 1568606911 | Radiology of San Antonio | Radiology | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2009-04-29 |
| 1699913780 | Jimmy L Pena | Nurse Practitioner | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2009-01-27 |
| 1588849855 | Texas Em-1 Medical Services, Pa | Physician Assistant | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2008-01-07 |
| 1447435029 | Dana Leigh Hernandez | Audiologist | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2008-01-02 |
| 1770768525 | Tejano Emergency Physicians Pllc | Emergency Medicine | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2007-12-28 |
| 1023293875 | Texas Em-1 Medical Services, Pa | Physician Assistant | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2007-12-28 |
| 1104001957 | Travis Emergency Physicians Pllc | Pediatrics | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2007-12-28 |
| 1568595411 | Jacob Labahn | Family Medicine | 333 N Santa Rosa Ave, Center for Children & Families, 4th Floor, Clinic A, San Antonio, TX 78207-3108 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972997500 | Alexander Henri | Pediatrics | 315 N San Saba Ste 1135, San Antonio, TX 78207 | 2015-03-20 |
| 1831506757 | Sheetal Khiyani | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2014-07-14 |
| 1487829115 | Tracy Elizabeth Mccallin | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2008-04-23 |
| 1104001957 | Travis Emergency Physicians Pllc | Pediatrics | 333 N Santa Rosa Ave, San Antonio, TX 78207-3108 | 2007-12-28 |
| 1689854895 | Ashu Kumar | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2007-11-06 |
| 1639360811 | Jamie Lynn Jaqua | Pediatrics | 520 Madison Oak Dr, San Antonio, TX 78258-3912 | 2007-08-05 |
| 1316961402 | Allen R Potter | Pediatrics | 8401 Datapoint Dr, Suite 500, San Antonio, TX 78229-5907 | 2006-07-26 |
| 1093735375 | Sebrina D Perkins | Pediatrics | 4204 Gardendale St, Ste 312, San Antonio, TX 78229-3132 | 2006-07-20 |
| 1467480624 | David Bruce Newby | Pediatrics | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2006-06-28 |
| 1669408779 | Richard S Wayne | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2006-06-23 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78207 |
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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.