SHIRIN JAFARI-NAMIN (NPI# 1316328818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316328818 |
| Entity Type | Individual |
| Full Name | SHIRIN JAFARI-NAMIN |
| Credential | DO |
| Practice Address |
13640 Steelecroft Pkwy Ste 210 Charlotte NC 28278-7565 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7045126100 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2019-00426 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 332 N Trade St, Ste 1500, Matthews, NC 281051728 | 7045126820 | |
| 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 282114297 | 7043677400 | |
| 6235 Blakeney Park Dr, Ste 100, Charlotte, NC 282775658 | 7045125060 |
| Street Address |
13640 STEELECROFT PKWY STE 210 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278-7565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063444263 | Charles Bale | Obstetrics & Gynecology | 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278-7565 | 2006-07-07 |
| 1740711076 | John Licata | Pediatrics | 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 | 2017-03-27 |
| 1871038265 | Elissa Ann Bolling | Physician Assistant | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 2016-12-21 |
| 1518339902 | Dustin Huerta | Nurse Practitioner | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 2015-10-23 |
| 1497131031 | Kanitra Clyburn | Nurse Practitioner | 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 | 2015-08-05 |
| 1366847915 | Sana Umair | Hospitalist | 13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 28278-7565 | 2014-10-24 |
| 1972924157 | Kathryn Alexis Repas | Physician Assistant | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 2013-12-14 |
| 1023455425 | Colleen Pettrey | Internal Medicine | 13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 28278-7565 | 2013-05-28 |
| 1801233390 | Courtney Moynihan | Obstetrics & Gynecology | 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278-7565 | 2013-05-24 |
| 1407299415 | Mitchell Alvarez | Obstetrics & Gynecology | 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278-7565 | 2013-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
| 1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
| 1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
| 1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
| 1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
| 1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
| 1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
| 1568612240 | Kim Marie Briden | Contractor | 13805 Appling Lane, Charlotte, NC 28278 | 2008-09-30 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| Find all providers in zip 28278 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| 1962042416 | Carolinas Physicians Network Inc | Pediatrics | 1308 Scott Ave, Charlotte, NC 28204-2918 | 2020-01-13 |
| 1083175533 | Denise Makala | Pediatrics | 1000 Blythe Blvd 4th Floor, Meb, Cmc/levine Children's Hospital, Charlotte, NC 28203-5812 | 2019-03-27 |
| 1639565526 | Emily Ogletree | Pediatrics | 8401 Medical Plaza Dr Ste 220, Charlotte, NC 28262-8700 | 2015-04-08 |
| 1811392343 | Adriana Virginia Rosado-jimenez | Pediatrics | 10340 Park Rd Ste B, Charlotte, NC 28210-8401 | 2014-10-27 |
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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.