DR. ALI MOKHTARZADEH (NPI# 1225299647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225299647 |
Entity Type | Individual |
Full Name | DR. ALI MOKHTARZADEH |
Credential | M.D. |
Practice Address |
420 Delaware St Se Mmc 493 Minneapolis MN 55455-0341 |
Practice Telephone | 6126254654 |
Practice Fax Number | 6126263119 |
Mailing Telephone | 6126254654 |
Mailing Fax Number | 6126263119 |
Enumeration Date | 2008-06-18 |
Last Update Date | 2016-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 55387 | MN | Allopathic & Osteopathic Physicians |
Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
55387 | MN | Allopathic & Osteopathic Physicians |
Street Address |
420 DELAWARE ST SE MMC 493 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55455-0341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942202593 | Christopher J Geisler | Physician Assistant | 420 Delaware St Se, Mmc 292; Suite Mayo B228, Minneapolis, MN 55455-0341 | 2005-08-12 |
1366056095 | Yuki Shima | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-09-01 |
1194348029 | Katarina Elizabeth Cheng | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 609, Mayo D142, Minneapolis, MN 55455 | 2020-05-27 |
1306469630 | Damian Hall | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-21 |
1538781588 | Madisen Janssen | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-13 |
1023639648 | Della Bro | Genetic Counselor, MS | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
1790306306 | Michael Gregory Michalik | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
1679194609 | Xiaolei Shi | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-30 |
1467073767 | Sergio Michael Navarro | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-28 |
1295356400 | Jeffrey Lane Bowers | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
Find all providers in zip 55455 |
Taxonomy Code | 207WX0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Ophthalmic Plastic and Reconstructive Surgery |
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427563386 | Minnesota Ophthalmic Plastic Surgery Specialists, P.C. | Ophthalmology | 6405 France Ave S Ste W460, Edina, MN 55435-2189 | 2017-12-13 |
1023245701 | Meredith Saylor Baker | Ophthalmology | 6405 France Ave South, Suite W460, Edina, MN 55435-2189 | 2009-06-19 |
1154887131 | Eye Plastic Surgery of Minnesota Pllc | Ophthalmology | 635 Bielenberg Dr Ste 220, Woodbury, MN 55125-1413 | 2019-02-14 |
1033408299 | Douglas Dworak | Ophthalmology | 2080 Woodwinds Dr Ste 110, Woodbury, MN 55125 | 2011-03-28 |
1619946811 | Eric Richard Nelson | Ophthalmology | 6405 France Ave S, Suite W460, Edina, MN 55435-2163 | 2006-03-17 |
City | MINNEAPOLIS |
Zip Code | 55455 |
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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.