MRS. AREZOO TAHERI (NPI# 1215917992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215917992 |
| Entity Type | Individual |
| Full Name | MRS. AREZOO TAHERI |
| Credential | MD |
| Practice Address |
2301 25th St S Ste I Fargo ND 58103 |
| Practice Telephone | 7012353050 |
| Practice Fax Number | 7012354525 |
| Mailing Telephone | 7012353050 |
| Mailing Fax Number | 7012354525 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD192666 | OR | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
6556 | ND | Allopathic & Osteopathic Physicians |
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
6556 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13540 | 05 |
| Street Address |
2301 25TH ST S STE I |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786860 | Derek Weninger | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-03-25 |
| 1578196853 | Jade Storley | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-02-14 |
| 1881225837 | Whitney Marie Krabbenhoft | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2020-01-29 |
| 1477113439 | Matthew Philip Mcmanus | Specialist/Technologist | 2301 25th St S, Fargo, ND 58103-6104 | 2019-06-20 |
| 1467938886 | Cassandra Staber | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-07-18 |
| 1194201624 | Alec Michelle Aman | Physical Therapist | 2301 25th St S, Fargo, ND 58103-6104 | 2018-07-18 |
| 1639679624 | Andrew Macgregor | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-15 |
| 1851890396 | Jordan Iverson | Physician Assistant | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-11 |
| 1740789726 | Melisha Ann Vannett | Nurse Practitioner | 2301 25th St S, Fargo, ND 58103-6104 | 2018-02-06 |
| 1033563325 | Nikole Lee Koehn | Specialist | 2301 25th St S, Fargo, ND 58103 | 2016-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518047091 | Fargo Gastroenterology & Hepatology Clinic,pc | Internal Medicine | 1665 43rd St S, Suite 100, Fargo, ND 58103-3319 | 2006-10-17 |
| 1922039684 | Fadel E Nammour | Internal Medicine | 5049 33rd Ave S, Fargo, ND 58104-7080 | 2006-07-05 |
| 1881024271 | Dakota Gastroenterology, Ltd | Internal Medicine | 5049 33rd Ave S, Fargo, ND 58104-7080 | 2013-11-21 |
| 1396038162 | Israr Ahmad Sheikh | Internal Medicine | 801 Broadway N, Fargo, ND 58102 | 2011-05-26 |
| 1245558428 | Kimberly J Kolkhorst | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-05-12 |
| 1164674644 | Navin Paul | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2008-10-16 |
| 1699989939 | Sajid Jalil | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2007-05-09 |
| 1821020066 | Stephen J Spellman | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-07 |
| 1992735757 | Settihalli L Rajender | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-04 |
| 1467429613 | Steven Pletcher | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-03-07 |
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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.