DR. MAHTA MORTEZAVI (NPI# 1093013781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093013781 |
| Entity Type | Individual |
| Full Name | DR. MAHTA MORTEZAVI |
| Credential | MD |
| Practice Address |
222 Alexander St Ste 3000 Rochester NY 14607-4047 |
| Mailing Address |
222 Alexander St Ste 3000 Rochester NY 14607-4047 |
| Practice Telephone | (585) 922-8350 |
| Mailing Telephone | (585) 922-8350 |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2017-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
282225 | NY | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
282225 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
222 ALEXANDER ST STE 3000 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14607-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578593018 | Bernadette Palermo | Physician Assistant | 222 Alexander St Ste 3000, Rochester, NY 14607-4047 | 2006-07-03 |
| 1124636964 | Sara Lynne Keller | Physician Assistant | 222 Alexander St Ste 3000, Rochester, NY 14607-4047 | 2020-07-17 |
| 1639584923 | Sara K Willistein | Physician Assistant | 222 Alexander St Ste 3000, Rochester, NY 14607-4047 | 2014-06-25 |
| 1952699233 | Linh-an C Tuong | Allergy & Immunology | 222 Alexander St Ste 3000, Rochester, NY 14607 | 2011-07-20 |
| 1184958415 | Anne Marie Holly | Physician Assistant | 222 Alexander St Ste 3000, Rochester, NY 14607-4047 | 2009-09-18 |
| 1194941831 | Sharon Bolaji-thomas | Registered Nurse | 222 Alexander St Ste 3000, Rochester, NY 14607 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1184274920 | Rhodette Gayhart | Technician | 70 Edmonds St., Apt. 2, Rochester, NY 14607 | 2019-09-13 |
| 1194209031 | Amy Knickerbocker | Nurse Practitioner | 224 Alexander St Ste 220, Rochester, NY 14607 | 2018-09-17 |
| 1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
| 1386160414 | Meghan Grant | Physical Therapist | 26 Harper Street, Rochester, NY 14607 | 2017-08-21 |
| 1548793722 | Burd Home Health LLC | In Home Supportive Care | 274 N Goodman St Ste A403, Rochester, NY 14607 | 2017-04-05 |
| 1154718799 | Azadeh Shahryarinejad | Social Worker | 16 North Goodman Street, Rochester, NY 14607 | 2015-04-21 |
| 1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
| 1275978058 | Sarah Lynn Fisher | Speech-Language Pathologist | Leap for Kids Ot, Pt & Slp, 372 N. Goodman St., Rochester, NY 14607 | 2013-05-07 |
| 1639410350 | Jonell Mae Belcher | Social Worker | 235 Alexander St Ste 4, Rochester, NY 14607 | 2013-03-05 |
| Find all providers in zip 14607 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053731414 | Luanna Yang | Internal Medicine | 10 Hagen Dr Ste 20, Rochester, NY 14625-2663 | 2014-04-23 |
| 1518116797 | Richard G Vandellen | Internal Medicine | 600 4th St Sw Apt 306, Rochester, MN 55902-3245 | 2008-09-12 |
| 1376820605 | Ascension St John Hospital | Internal Medicine | 1202 Walton Blvd, Suite 201, Rochester, MI 48307-6917 | 2011-11-15 |
| 1932286556 | Avni Y Joshi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-11-01 |
| 1063461432 | Douglas H Jones | Internal Medicine | 222 Alexander St, Monroe Court, Rochester, NY 14607-4039 | 2006-05-10 |
| 1770541880 | Eduardo Arreaza | Internal Medicine | 222 Alexander St, Monroe Court, Rochester, NY 14607-4039 | 2006-05-01 |
| 1588640502 | Evangelo Frigas | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-21 |
| 1366432981 | Robert C Czarnecki | Internal Medicine | 1135 W University Dr, Ste 135, Rochester, MI 48307 | 2005-10-25 |
| 1700876364 | Ulrich O Ringwald | Internal Medicine | 1135 W University Dr, Ste 135, Rochester, MI 48307-1871 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366808511 | Yiqun Hui Md Pllc | Internal Medicine | 4316 215th St, 1st Fl, Bayside, NY 11361-2976 | 2016-01-04 |
| 1376934224 | Riverdale Medical, P.C. | Internal Medicine | 11 Riverdale Ave, Port Chester, NY 10573-2737 | 2015-02-13 |
| 1225372436 | Albany Medical College | Internal Medicine | 176 Washington Avenue Ext Ste 102, Albany, NY 12203-5300 | 2012-11-15 |
| 1306176730 | Bernard Benjamin Levine | Internal Medicine | 210 Riverside Dr, 9f, New York, NY 10025-6802 | 2010-01-07 |
| 1164553319 | Sylvia Kelley Knowlton | Internal Medicine | 1549 Waterwells Rd, Alfred Station, NY 14803-9794 | 2007-03-08 |
| 1942352265 | David Volkman | Internal Medicine | 4 River Hollow Rd, Saint James, NY 11780-4104 | 2007-01-17 |
| 1538227905 | Arthur Englard | Internal Medicine | 2 West 67th Street, New York, NY 10023 | 2006-12-05 |
| 1992863146 | Gabriele Selma De Vos | Internal Medicine | 2510 Bouck Ave, Bronx, NY 10469-5605 | 2006-12-04 |
| 1942308168 | Robert Karol | Internal Medicine | 218 Juniper Cir S, Lawrence, NY 11559-1918 | 2006-09-20 |
| 1396849071 | Arthur Samuel Kurtz | Internal Medicine | 16 Roosevelt Ave, Port Jefferson Station, NY 11776-3337 | 2006-09-12 |
| Find all providers with the same taxonomy | ||||
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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.