MASOUD KHORSAND-SAHBAIE, MD PA (NPI# 1194169011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194169011 |
| Entity Type | Organization |
| Organization Name | MASOUD KHORSAND-SAHBAIE, MD PA |
| Other Organization Name | KYMERA INDEPENDENT PHYSICIANS |
| Practice Address |
402 W Country Club Rd Roswell NM 88201-5247 |
| Mailing Address |
Po Box 1574 Roswell NM 88202-1574 |
| Practice Telephone | 5756279500 |
| Practice Fax Number | 5756279535 |
| Mailing Telephone | 5756279508 |
| Mailing Fax Number | 8777497764 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | BRENDA COTTRELL (BUSINESS SYSTEMS/CREDENTIALING MGR) |
| Authorized Official Telephone | 5756279508 |
| Is Organization Subpart | Y |
| Parent Organization Name | MASOUD KHORSAND-SAHBAIE, MD PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD2012-0215 | NM | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD2009-0514 | NM | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 89-280 | NM | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | CNP-01000 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-01933 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-02125 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | MD2011-0207 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z2565 | 05 |
| Other Name | Type Code |
|---|---|
| Kymera Independent Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053621060 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 3028 N. Grimes, Hobbs, NM 88241 | 2010-10-13 |
| 1518277417 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 101 S Canal St, Carlsbad, NM 88220-5713 | 2010-10-14 |
| Street Address |
402 W COUNTRY CLUB RD |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033197538 | Sidney Clyde England | Physician Assistant | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2006-01-04 |
| 1750786620 | Jennifer Smoot | Nurse Practitioner | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2014-11-04 |
| 1013263219 | Jelena Markovic | Internal Medicine | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2012-07-25 |
| 1265793319 | Ann M Matakas | Nurse Practitioner | 402 W Country Club Rd, Roswell, NM 88201 | 2012-06-05 |
| 1407880867 | Jose Lujan-palma | Psychiatry & Neurology | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2006-07-10 |
| 1184673436 | Mary Therese Meyers-marquardt | Nurse Practitioner | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2006-05-06 |
| 1902860075 | Barbara Gloria Whitten | Nurse Practitioner | 402 W Country Club Rd, Roswell, NM 88201 | 2006-04-14 |
| 1568425395 | Hamid Feroze | Internal Medicine | 402 W Country Club Rd, Roswell, NM 88201 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543196 | Injury Md LLC | Family Medicine | 245 Steeple Point Dr, Roswell, GA 30076-5521 | 2020-06-24 |
| 1073070991 | Hip Medical Georgia,llc | Family Medicine | 11660 Alpharetta Hwy Ste 285, Roswell, GA 30076-3876 | 2019-02-27 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1801261714 | Arnett Medical, LLC | Family Medicine | 1915 N Atkinson Ave, Roswell, NM 88201-7600 | 2015-12-02 |
| 1265792022 | Brandon C Cometti | Family Medicine | 300 W Country Club Rd Ste 210, Roswell, NM 88201-5240 | 2012-05-25 |
| 1790095974 | Lawrence Joseph Barbour Sr. | Family Medicine | 803 Sherrill Ln, Roswell, NM 88201-3469 | 2010-10-20 |
| 1699099390 | New Mexico Medical Surgical Hospital LLC | Family Medicine | 2335 N Main St, Roswell, NM 88201-6452 | 2010-03-24 |
| 1700016284 | Jeremy D Boyd | Family Medicine | 9420 Willeo Rd Ste 206, Roswell, GA 30075-6773 | 2009-07-20 |
| 1497990220 | David Ludvig Hammer | Family Medicine | 10535 Turner Rd, Roswell, GA 30076-2438 | 2008-12-08 |
| 1578728309 | Lakshmi Gopireddy | Family Medicine | 3000 Hospital Blvd Fl 2, Roswell, GA 30076 | 2008-07-21 |
| Find all providers in ROSWELL | ||||
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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.