JOHN PHILLIP NAZARIAN (NPI# 1336467760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336467760 |
| Entity Type | Individual |
| Full Name | JOHN PHILLIP NAZARIAN |
| Credential | M.D. |
| Practice Address |
3200 Blue Ridge Rd Ste 100 Raleigh NC 27612 |
| Mailing Address |
1121 Situs Ct Ste 170 Raleigh NC 27606-4279 |
| Practice Telephone | 9197811437 |
| Mailing Telephone | 9198342767 |
| Mailing Fax Number | 9198340234 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
2016-00147 | NC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2016-00147 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952311805 | John A. Nazarian | Psychiatry & Neurology | 151 Hazard Ave, Suite 4, Enfield, CT 06082-4584 | 2006-08-09 |
| Street Address |
3200 BLUE RIDGE RD STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699769315 | Richard B Clinton | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2005-09-08 |
| 1326468893 | Nicole A Keefe | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2014-04-23 |
| 1548697238 | Koreen D Morgan | Physician Assistant | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612 | 2013-09-26 |
| 1326382508 | Rebecca Olson Bakkestuen | Physician Assistant | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2012-11-12 |
| 1013276021 | Teerath Peter Tanpitukpongse | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2012-05-10 |
| 1790076347 | Christopher Matthew Long | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2011-04-29 |
| 1124331582 | Mustafa Sardar Khan | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2010-07-14 |
| 1427369537 | Jamie Doster Mcintyre | Internal Medicine | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2010-06-24 |
| 1407167687 | Ravi R Dalal | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2010-06-23 |
| 1174844427 | Shannon L. Tocchio | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2010-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
| 1598956385 | Athena Radiology Solutions | Radiology | 8309 Six Forks Rd, Suite 101, Raleigh, NC 27615-2096 | 2007-08-06 |
| 1174738082 | Janine Beeson | Radiology | 1121 Situs Ct, Ste 170, Raleigh, NC 27606-4279 | 2007-05-14 |
| 1780669986 | John Andrew Bardini | Radiology | 3200 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-8086 | 2005-12-09 |
| 1699769315 | Richard B Clinton | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2005-09-08 |
| 1689086878 | Ryan Stephens | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-05-22 |
| 1326468893 | Nicole A Keefe | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2014-04-23 |
| 1750708913 | Ashley Nicole Oladipo | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-03-26 |
| 1063854354 | Christopher Alan Hallmark | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2013-07-26 |
| 1073855318 | Sejal Narendra Patel | Radiology | 3400 Wake Forest Rd, Raleigh, NC 27609 | 2013-03-25 |
| Find all providers in RALEIGH | ||||
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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.