SHIVAN H AMIN (NPI# 1275857542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275857542 |
| Entity Type | Individual |
| Full Name | SHIVAN H AMIN |
| Credential | M.D. |
| Practice Address |
2675 N Decatur Rd Ste 707 Decatur GA 30033-6131 |
| Mailing Address |
1060 Virginia Ave Ne Atlanta GA 30306-3526 |
| Practice Telephone | 4045017710 |
| Practice Fax Number | 4045017215 |
| Mailing Telephone | 2674564313 |
| Mailing Fax Number | 4045017212 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2016-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | A108630 | CA | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
67525 | GA | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
67525 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2675 N DECATUR RD STE 707 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423471 | Tonya Echols Cole | Specialist | 2675 N Decatur Rd, Suite G-03, Decatur, GA 30033-6131 | 2005-08-09 |
| 1609475227 | Olivia Ward | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-10-23 |
| 1154920726 | Tiera Shanae Williams | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-10-23 |
| 1104430859 | Victoria Phan | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-09-01 |
| 1265884985 | Renzo P Gonzalez | Pharmacist | 2675 N Decatur Rd, Suite 101, Decatur, GA 30033-6131 | 2016-07-06 |
| 1033567847 | Amanda Singh | Physician Assistant | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2016-06-02 |
| 1033565106 | Kavia Chandra Kreitel | Advanced Practice Midwife | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2016-05-09 |
| 1154780914 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2675 N Decatur Rd, Suite 303, Decatur, GA 30033-6131 | 2016-02-22 |
| 1851756068 | Ddab, LLC | Nurse Anesthetist, Certified Registered | 2675 N Decatur Rd, Suite 506, Decatur, GA 30033-6131 | 2015-12-15 |
| 1619348158 | Olga Mason | Nurse Practitioner | 2675 N Decatur Rd, Suite 512, Decatur, GA 30033-6131 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174628572 | Azhar Aslam Md LLC | Otolaryngology | 1770 E Lake Shore Dr, Suite 103, Decatur, IL 62521-3832 | 2006-09-13 |
| 1922057371 | Azhar Aslam | Otolaryngology | 1770 E Lake Shore Dr, Suite 103, Decatur, IL 62521-3832 | 2006-05-10 |
| 1760463632 | Benjamin W Light | Otolaryngology | 1218 13th Ave Se, Decatur, AL 35601-4307 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942431408 | Joseph H. Bee | Otolaryngology | 3025 Shrine Road, Suite 480, Brunswick, GA 31520-4722 | 2009-08-01 |
| 1821164500 | Booker Terry Seymour IIi | Otolaryngology | 3280 Howell Mill Rd, Ste 200, Atlanta, GA 30327 | 2006-11-27 |
| 1245305879 | Piedmont Ear Nose &throat Associates PC | Otolaryngology | 1720 Peachtree Street, Suite 200, Atlanta, GA 30309-1605 | 2006-11-21 |
| 1356428700 | Neil A Persaud | Otolaryngology | 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288 | 2006-11-01 |
| 1609959725 | Robert David Marcus | Otolaryngology | 8065 Innisbrook Ct, Columbus, GA 31909-2088 | 2006-10-23 |
| 1982786810 | Ramon S. Franco | Otolaryngology | 700 Galleria Pkwy Se, Suite 350, Atlanta, GA 30339-5943 | 2006-10-19 |
| 1023198660 | Donald Patrick Dennis | Otolaryngology | 3193 Howell Mill Rd, #215, Atlanta, GA 30327 | 2006-10-17 |
| 1073596193 | Douglas Christian Miller | Otolaryngology | 2151 W Spring St Ste B120, Monroe, GA 30655-3210 | 2005-11-22 |
| 1265425912 | Rick Lockhart | Otolaryngology | 111 Fieldstone Dr, Suite 102, Milledgeville, GA 31061-7106 | 2005-08-29 |
| 1922000959 | David S Oliver | Otolaryngology | 322 Commercial Dr Ste 2, Savannah, GA 31406 | 2005-08-10 |
| Find all providers with the same taxonomy | ||||
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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.