MOHAMAD REZA SAMIIAN


Address: 4221 Southpoint Pkwy, Jacksonville, FL 32216
Phone: 9042962810

MOHAMAD REZA SAMIIAN (NPI# 1336138734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336138734
Entity Type Individual
Full Name MOHAMAD REZA SAMIIAN
Credential MD PA
Practice Address 4221 Southpoint Pkwy
Jacksonville
FL 32216
Practice Telephone 9042962810
Practice Fax Number 9042963424
Mailing Telephone 9042962810
Mailing Fax Number 9042963424
Enumeration Date 2005-10-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery ME20018 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL PROVIDER # 15880 01

Office Location

Street Address 4221 SOUTHPOINT PKWY
City JACKSONVILLE
State FL
Zip Code 32216

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
Find all providers in zip 32216

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699831644 Loren Zalman Clayman Plastic Surgery 1801 Barrs Street Suite 200, Jacksonville, FL 32204 2006-12-27
1134217839 Thomas Joseph Rojy Jr. Plastic Surgery 43 Office Park Dr, Jacksonville, NC 28546-3220 2006-10-10
1881678753 Erez Gabriel Sternberg Plastic Surgery 7711 Baymeadows Rd E, Suite #6, Jacksonville, FL 32256-9675 2005-12-02
1861495723 David Winton Mobley Plastic Surgery 5101 Gate Parkway, Suite 2, Jacksonville, FL 32256-7276 2005-05-24
1720354046 Body Balance Md Plastic Surgery 6817 Southpoint Pkwy, Suite 801, Jacksonville, FL 32216 2012-03-30
1902108020 Sofia K. Kirk, M.d., Pllc Plastic Surgery 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 2010-11-22
1417262288 Mclane Medical, Inc. Plastic Surgery 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 2010-08-17
1760797773 Thomas J Rojy Jr Md Pa Plastic Surgery 43 Office Park Dr, Jacksonville, NC 28546-3220 2010-08-13
1588985972 Jacksonville Plastic Surgery Inc Plastic Surgery 3599 University Blvd S, Suite 1600, Jacksonville, FL 32216-4252 2010-06-20
1891921581 Truyou Plastic Surgery of Jacksonville Pllc Plastic Surgery 7711 Baymeadows Rd E, Suite #6, Jacksonville, FL 32256-9675 2009-06-08
Find all providers in JACKSONVILLE

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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