DR. CYRUS ANDRIS POURZAN (NPI# 1245325984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245325984 |
Entity Type | Individual |
Full Name | DR. CYRUS ANDRIS POURZAN |
Credential | MD |
Practice Address |
1150 S. Goodwin Rd Lone Pine CA 93545 |
Mailing Address |
52 N Tu Su Ln Bishop CA 93514-8058 |
Practice Telephone | 7608764795 |
Practice Fax Number | 7608765624 |
Mailing Telephone | 7608736111 |
Mailing Fax Number | 7608728152 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2013-04-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | G46209 | CA | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 4876 | NV | Allopathic & Osteopathic Physicians |
Street Address |
1150 S. GOODWIN RD |
City | LONE PINE |
State | CA |
Zip Code | 93545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447718978 | Maria Lucia Niepagen | Nurse Practitioner | 1150 S Goodwin Rd., Lone Pine, CA 93545 | 2019-03-04 |
1659789832 | Loraine Spreacker | Dietitian, Registered | 501 E Locust Street, Lone Pine, CA 93545 | 2014-07-31 |
1386902849 | County of Inyo | Clinic/Center | 380 North Mt Whitney Drive, Lone Pine, CA 93545 | 2012-05-02 |
1194843896 | Inyo County Mental Health | Clinic/Center | 380 1/2 North Mt Whitney Drive, Lone Pine, CA 93545 | 2007-03-27 |
1205950888 | Toiyabe Indian Health Project, Inc. | Clinic/Center | 1150 S Goodwin Road, Lone Pine, CA 93545 | 2007-03-19 |
1679612584 | Lone Pine Unified School District | Local Education Agency (LEA) | 301 S Hay Street, Lone Pine, CA 93545 | 2007-02-06 |
1679627731 | Robert Seitz | Dentist | 1150 South Goodwin Lane, Lone Pine, CA 93545 | 2007-01-23 |
1063589174 | Southern Inyo Healthcare District | Clinic/Center | 510 E. Locust, Lone Pine, CA 93545 | 2006-11-30 |
1326123738 | Milton Benjamin Jones | Family Medicine | 510 East Locust Street, Lone Pine, CA 93545 | 2006-10-25 |
1831128602 | Southern Inyo Healthcare District | Clinic/Center | 501 E. Locust Street, Lone Pine, CA 93545 | 2006-07-02 |
Find all providers in zip 93545 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.