DR. KOUROSH TAVANAIEPOUR (NPI# 1194082842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194082842 |
| Entity Type | Individual |
| Full Name | DR. KOUROSH TAVANAIEPOUR |
| Credential | D.O. |
| Practice Address |
580 W 8th St Jacksonville FL 32209-6533 |
| Mailing Address |
Po Box 44008 Jacksonville FL 32231-4008 |
| Practice Telephone | 9043831022 |
| Mailing Telephone | 9042443660 |
| Mailing Fax Number | 9042443425 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | OS14713 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Lothrop Street, Suite B-400, Upmc Presbyterian Department of Neurological Surgery, Pittburgh, PA 15213 | 4126473685 | 4126470989 |
| Street Address |
580 W 8TH ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121324 | Sandeep Grover | Ophthalmology | 580 W 8th St, Ufjp Ophthalmology Dept., Jacksonville, FL 32209-6533 | 2006-02-03 |
| 1336765361 | Giuliano Marcelo Ponce Calatayu | Pharmacist | 580 W 8th St, Jacksonville, FL 32209-6533 | 2020-06-25 |
| 1366066771 | Nicholas Whiting | Optometrist | 580 W 8th St, Tower 2, 3rd Floor, Jacksonville, FL 32209 | 2020-06-01 |
| 1922535277 | Katherine Singh | Nurse Practitioner | 580 W 8th St, Jacksonville, FL 32209-6533 | 2017-05-17 |
| 1023540929 | Daniel Lewis | Student in an Organized Health Care Education/Training Program | 580 W 8th St, Suite 6005, Jacksonville, FL 32209-6533 | 2017-03-30 |
| 1417489774 | Lee Blackmon | Student in an Organized Health Care Education/Training Program | 580 W 8th St, 6th Floor, Suite 6005, Jacksonville, FL 32209-6533 | 2017-03-28 |
| 1164953691 | Rebecca Creel | Student in an Organized Health Care Education/Training Program | 580 W 8th St, 6th Floor, Suite 6005, Jacksonville, FL 32209-6533 | 2017-03-26 |
| 1033567797 | Shirley Diana Angela Alleyne | Psychiatry & Neurology | 580 W 8th St, 580 West 8th Street, Jacksonville, FL 32209-6533 | 2016-06-02 |
| 1922453042 | Hina Banday | Psychiatry & Neurology | 580 W 8th St, Tower 2 6th Floor, Suite 6005, Jacksonville, FL 32209-6533 | 2016-04-26 |
| 1912369265 | Michaela Larned Denison | Student in an Organized Health Care Education/Training Program | 580 W 8th St, Tower II, Suite 6005, Jacksonville, FL 32209-6533 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1013436252 | Ryan N Pafford | Neurological Surgery | University of Florida Health, 580 West 8th Street, Tower 1, 8th Floor, Jacksonville, FL 32209 | 2017-09-19 |
| 1144586116 | Anil Kumar Roy | Neurological Surgery | 800 Prudential Dr Fl B11, Jacksonville, FL 32207-8202 | 2012-04-04 |
| 1437487709 | Andrew Brian Shaw | Neurological Surgery | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2009-11-25 |
| 1790965325 | Stephen Scott Scibelli | Neurological Surgery | 3627 University Blvd S Suite 355, Memorial Neurosurgery Group, Jacksonville, FL 32216 | 2007-11-12 |
| 1477754513 | Michael J Petr | Neurological Surgery | 7807 Baymeadows Rd E Ste 208, Jacksonville, FL 32256-9666 | 2007-05-29 |
| 1063500015 | Amos Olabisi Dare | Neurological Surgery | 544 Cesery Blvd, Suite 310, Jacksonville, FL 32211 | 2006-10-11 |
| 1104911601 | Neurosurgery Consultants Pa | Neurological Surgery | 215 Station Street, Jacksonville, NC 28546 | 2006-10-03 |
| 1255373528 | Kaveh Barami | Neurological Surgery | 3627 University Boulevard South, Suite 355, Jacksonville, FL 32216-8030 | 2006-06-12 |
| 1295773943 | Sean Hsu | Neurological Surgery | 215 Station St, Jacksonville, NC 28546-6304 | 2006-06-03 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on DR. KOUROSH TAVANAIEPOUR.
| 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.