SEYED ABDOLJAVAD BEHESHTI SHIRAZI (NPI# 1205053113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205053113 |
| Entity Type | Individual |
| Full Name | SEYED ABDOLJAVAD BEHESHTI SHIRAZI |
| Other Name | JAVAD BEHESHTI SHIRAZI |
| Credential | M.D. |
| Practice Address |
1 Guthrie Dr Department of Pathology Corning NY 14830-3696 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 6079371451 |
| Practice Fax Number | 6079377860 |
| Mailing Telephone | 5708885858 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
MD453997 | PA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
268188 | NY | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD453997 | PA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
268155-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03536096 | 05 |
| Street Address |
1 GUTHRIE DR DEPARTMENT OF PATHOLOGY |
| City | CORNING |
| State | NY |
| Zip Code | 14830-3696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071840 | Jae W Chung | Specialist | 1 Guthrie Dr, Corning, NY 14830-3696 | 2005-05-23 |
| 1316509383 | Karleena Mickle | Nurse Practitioner | 1 Guthrie Dr, Corning, NY 14830-3696 | 2019-07-01 |
| 1184192213 | Maridee Kaye Hunter | Nurse Practitioner | 1 Guthrie Dr, Corning, NY 14830-3696 | 2018-11-07 |
| 1932680311 | Cynthia Demuth | Pediatrics | 1 Guthrie Dr, Corning, NY 14830-3696 | 2018-08-24 |
| 1831577071 | Zacchaeus Akinleye | Internal Medicine | 1 Guthrie Dr, Corning, NY 14830 | 2015-05-07 |
| 1043606544 | Andrew Scott Mccollough | Emergency Medicine | 1 Guthrie Dr, Corning, NY 14830-2899 | 2015-04-10 |
| 1912302035 | Patrick W. Horner | Internal Medicine | 1 Guthrie Dr, Corning, NY 14830 | 2014-10-31 |
| 1013316769 | Saravanakumar Manickam | Anesthesiology | 1 Guthrie Dr, Corning, NY 14830-3696 | 2014-08-19 |
| 1609295476 | Gabriel Garcia-ryan | Emergency Medicine | 1 Guthrie Dr, Corning, NY 14830-3696 | 2014-04-09 |
| 1013215896 | Michael Jon Depersis | Internal Medicine | 1 Guthrie Dr, Guthrie Medical Group, Corning, NY 14830-3696 | 2011-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358836 | Shehla Javed | Registered Nurse | 3 Corning Dr, Corning, NY 14830 | 2020-05-18 |
| 1285993246 | Karen Adams | Physical Therapy Assistant | 205 E. First, Corning, NY 14830 | 2012-05-11 |
| 1275802464 | Anne Bethany Stefanini | Registered Nurse | 36 Mcmahon Avenue, Corning, NY 14830 | 2011-12-19 |
| 1548538119 | Elizabeth Ruth Costello | Registered Nurse | 11 West Third Street, Corning Free Academy, Corning, NY 14830 | 2011-12-09 |
| 1760769418 | Elizabeth Regina Feulner | Registered Nurse | 143 Princton Ave, Northside Blodgett Middle School, Corning, NY 14830 | 2011-11-09 |
| 1073823423 | Joyce Berliner | Occupational Therapist | 33 Denison Parkway West, Corning, NY 14830 | 2010-10-19 |
| 1285880625 | Angie L. Degraff-dacey | Licensed Practical Nurse | 160 Florentia Ln E, Corning, NY 14830 | 2008-08-18 |
| 1003098393 | Marcia Louise Ritter | Pharmacist | 601 West Pulteney Street, Corning, NY 14830 | 2007-11-29 |
| 1023203247 | Suzan S Fenstermacher | Physician Assistant | 88 Tioga Ave., Suite 102, Corning, NY 14830 | 2007-09-11 |
| 1205047313 | Katherine Ann Colyer | Physical Therapist | 11849 East Corning Rd, Suite 108, Corning, NY 14830 | 2007-05-24 |
| Find all providers in zip 14830 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649445 | Ben Bristol | Pathology | 424 Manville Rd Apt 2, Pleasantville, NY 10570-2848 | 2020-08-11 |
| 1548879802 | Vanguard Medical Services Pllc | Pathology | 233 Broadway Rm 2750, New York, NY 10279-2704 | 2020-07-23 |
| 1376164541 | Iftikhar Butt | Pathology | 17 Stablegate Dr, Clifton Park, NY 12065-6796 | 2020-04-29 |
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1902436728 | Coney Island Medical Diagnostic Services P C | Pathology | 1704 Mermaid Ave Ste 6, Brooklyn, NY 11224-2622 | 2020-01-21 |
| 1821527680 | Gamaliel Immanuel Medical Services PC | Pathology | 230 Hilton Ave Ste 214, Hempstead, NY 11550-8116 | 2017-06-06 |
| 1639605991 | New York Medical and Diagnostic Services PC | Pathology | 2315 86th St Fl 1, Brooklyn, NY 11214-4309 | 2017-05-05 |
| 1902355415 | Jayne Elizabeth Kremzier | Pathology | 349 Reist St, Williamsville, NY 14221-5344 | 2016-09-26 |
| 1336509090 | Joseph C Segen | Pathology | 1 Hawthorne Ln, Manhasset, NY 11030-1505 | 2016-02-24 |
| 1386061133 | Lee J. Slavutin | Pathology | 100 Riverside Drive, Apt 15d, New York, NY 10024 | 2014-03-18 |
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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.