MAHMUD SABET SOGGE-KERMANI (NPI# 1114108743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114108743 |
Entity Type | Individual |
Full Name | MAHMUD SABET SOGGE-KERMANI |
Other Name | SOHEIL S KERMANI |
Credential | PA-C |
Practice Address |
Rr 1 Box 67 Harlem MT 59526-9705 |
Practice Telephone | 4063533100 |
Practice Fax Number | 4063533229 |
Mailing Telephone | 4063533100 |
Mailing Fax Number | 4063533229 |
Enumeration Date | 2007-11-26 |
Last Update Date | 2009-04-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
391 | MT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | LICENSE NUMBER | 391 | 01 |
Street Address |
RR 1 BOX 67 |
City | HARLEM |
State | MT |
Zip Code | 59526-9705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588624225 | Shirley Pattison Baumgartner | Pharmacist | Rr 1 Box 67, Harlem, MT 59526-9705 | 2006-03-25 |
1568795755 | Velvet Jean Werk | Registered Nurse | Rr 1 Box 67, Harlem, MT 59526-9705 | 2009-09-07 |
1740513936 | Megan Michelle Wilkie | Registered Nurse | Rr 1 Box 67, Harlem, MT 59526-9705 | 2009-09-07 |
1881837508 | Carolyn Sue Hatfield | Technician, Pathology | Rr 1 Box 67, Harlem, MT 59526-9705 | 2009-04-10 |
1235394743 | Diane Noel Donahue | Spec/Tech, Pathology | Rr 1 Box 67, Harlem, MT 59526-9705 | 2008-07-23 |
1104002922 | Fort Belknap Emergency Medical Services | Taxi | Rr 1 Box 67, Harlem, MT 59526-9705 | 2008-01-10 |
1891996476 | William H Mcfarland | Audiologist | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-05-30 |
1104037233 | Barbara A Haubrich | Registered Nurse | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-05-24 |
1538370663 | Duane E Murray | Registered Nurse | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-05-24 |
1689885717 | Bettejo Snider | Radiologic Technologist | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558917385 | Karen Marie Reevis I | Counselor | 112 Arena Ave, Harlem, MT 59526 | 2019-08-16 |
1528614351 | Linda M Azure | Counselor | 122 Arena Ave., Harlem, MT 59526 | 2019-08-16 |
1770144529 | Charlie Bear IIi | Counselor | 122 Arena Ave, Harlem, MT 59526 | 2019-06-24 |
1629399423 | Cynthia Nicole Chennault | Dental Hygienist | 669 Agency Main Street, Harlem, MT 59526 | 2010-06-15 |
1194998757 | Monte A Healy | Registered Nurse | 456 Grosventre Ave, Harlem, MT 59526 | 2008-04-03 |
1043410285 | Harlem School District | Local Education Agency (LEA) | 610 1st Ave Se, Harlem, MT 59526 | 2007-07-24 |
1376749176 | Antonella Bella Lanza | Dentist | Fort Belknap Indian Community, 656 Agency Main Street, Harlem, MT 59526 | 2007-06-27 |
1205038494 | Janet L Jansen | Spec/Tech, Pathology | 456 Groventre Ave, Harlem, MT 59526 | 2007-06-01 |
1295943710 | Irma Faye Skunkcap | Counselor | 656 Agency Main Street, Harlem, MT 59526 | 2007-05-18 |
1457567679 | Bonnie Rae Lankford | Technician, Pathology | 345 Gros Ventre Ave, Harlem, MT 59526 | 2007-05-15 |
Find all providers in zip 59526 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841314705 | Mark Andrew Kearns | Physician Assistant | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891204988 | David Michael Neill | Physician Assistant | 310 South Sansome St., Philipsburg, MT 59858 | 2017-09-21 |
1528362159 | Carlye Bolstad | Physician Assistant | 3703 Harrison Ave Ste B, Butte, MT 59701-6897 | 2010-12-21 |
1578700902 | Karen Sue Barton | Physician Assistant | 3015 18th Ave S, Great Falls, MT 59405-5155 | 2009-01-07 |
1962676270 | Joan L Turek | Physician Assistant | 35499 County Rd 134, Fairview, MT 59221 | 2008-04-17 |
1225162589 | Manhattan Medical Services | Physician Assistant | 207 S 6th St, Manhattan, MT 59741 | 2007-03-16 |
1114015617 | Keri F Allmacher | Physician Assistant | 1821 South Ave W, Ste 402, Missoula, MT 59801-6517 | 2006-10-10 |
1649365271 | Blythe Lindsay | Physician Assistant | 1648 Ellis Street, Suite 301, Bozeman, MT 59715-8811 | 2006-10-03 |
1336251610 | Douglas K Casperson | Physician Assistant | 223 W Main, Ste A, Fairfield, MT 59436-6503 | 2006-08-31 |
1164533618 | David E. Mangold | Physician Assistant | 20 Four Mile Dr Ste 2, Kalispell, MT 59901-2644 | 2006-08-31 |
1205858867 | Brooke Kendra Schmidt | Physician Assistant | 1600 Whitefish Stage Ste 1, Kalispell, MT 59901-2172 | 2006-07-24 |
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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.