NIMA MALAKOOTI (NPI# 1164733820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164733820 |
| Entity Type | Individual |
| Full Name | NIMA MALAKOOTI |
| Credential | M.D. |
| Practice Address |
205 Palmer Avenue Bellefontaine OH 43311-1716 |
| Mailing Address |
205 Palmer Avenue Bellefontaine OH 43311 |
| Practice Telephone | 2168448447 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 35.121527 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1164733820 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11100 Euclid Ave, Cleveland, OH 441061716 | 2168448447 |
| Street Address |
205 PALMER AVENUE |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254931 | Mary Rutan Hospital | General Acute Care Hospital | 205 Palmer Avenue, Bellefontaine, OH 43311-2298 | 2005-08-31 |
| 1639558711 | Chadwick Boberg | Registered Nurse | 205 Palmer Avenue, Bellefontaine, OH 43311 | 2015-05-22 |
| 1700055530 | Jessica Quantz Cullivan | Family Medicine | 205 Palmer Avenue, Bellefontaine, OH 43311 | 2008-02-26 |
| 1285617068 | Robert H Davis | Pathology | 205 Palmer Avenue, Bellefontaine, OH 43311 | 2005-11-25 |
| 1316920309 | The Pathology Center | Pathology | 205 Palmer Avenue, Bellefontaine, OH 43311 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023130770 | Mary Rutan Hospital-emergency Department | Emergency Medicine | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2007-04-04 |
| 1336176007 | Richard T Wolever | Emergency Medicine | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2006-06-27 |
| 1134156235 | Patricia Sweeney | Emergency Medicine | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2006-06-26 |
| 1902832868 | Wayne Cummings | Emergency Medicine | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2006-06-23 |
| 1356387609 | Marc C Mcculloch | Emergency Medicine | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2006-06-22 |
| 1760424279 | Sylvia Esser-gleason | Emergency Medicine | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2006-06-11 |
| 1003857418 | John R Fearon | Emergency Medicine | 205 E Palmer Rd, Bellefontaine, OH 43311-2281 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624251 | Chadwick Gordon Rogers | Emergency Medicine | 6605 Rollymeade Ave, Cincinnati, OH 45243-3019 | 2020-09-22 |
| 1003433384 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 1 Kettering Way, Piqua, OH 45356-4109 | 2020-07-02 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1528695384 | Chizite Iheonunekwu | Emergency Medicine | 1 Akron General Ave # Aae, Akron, OH 44307-2432 | 2020-03-23 |
| 1790336741 | Ashley Brooke Tincher | Emergency Medicine | 8356 Horseshoe Rd, Ashley, OH 43003-8723 | 2019-09-21 |
| 1871090316 | Integrated Health Medical Consultants LLC | Emergency Medicine | 4487 Village Club Drive, Powell, OH 43065-7156 | 2018-04-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| 1871097253 | Scotty Fulton | Emergency Medicine | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-03-21 |
| 1821514761 | Roger Hart L'hommedieu Jr. | Emergency Medicine | 7341 Lacosta Dr, Hudson, OH 44236-1804 | 2017-08-22 |
| 1285150599 | Emergency Medicine Care Specialists, Inc | Emergency Medicine | 1620 Royal Oak Dr, Mansfield, OH 44906-3635 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
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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.