DR. RASSA SHAHIDZADEH (NPI# 1366563959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366563959 |
| Entity Type | Individual |
| Full Name | DR. RASSA SHAHIDZADEH |
| Credential | M.D. |
| Practice Address |
4708 Alliance Blvd Suite 300, Baylor Medical Plaza 1 Plano TX 75093-5340 |
| Practice Telephone | 9727586000 |
| Practice Fax Number | 9727586001 |
| Mailing Telephone | 9727586000 |
| Mailing Fax Number | 9727586001 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
L6176 | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
055794 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 202721102 | 05 | |
| TX | TEXAS STATE LICENSE | L6176 | 01 |
| GA | GEORGIA STATE LICENSE | 055794 | 01 |
| TX | BCBS | 8BG110 | 01 |
| TX | 202721101 | 05 |
| Street Address |
4708 ALLIANCE BLVD SUITE 300, BAYLOR MEDICAL PLAZA 1 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677940 | Gerhard Emil Maale IIi | Specialist | 4708 Alliance Blvd, Ste 710, Plano, TX 75093-5340 | 2005-05-31 |
| 1194360644 | Mundela Tshilanda | Nurse Practitioner | 4708 Alliance Blvd, Ste 600, Plano, TX 75093-5368 | 2019-11-07 |
| 1891155784 | Anna Ferris Martinez | Nurse Practitioner | 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5340 | 2016-03-04 |
| 1558739789 | Elaine Allison Hess | Psychologist | 4708 Alliance Blvd, Pav I, Ste 700, Plano, TX 75093-5340 | 2015-09-03 |
| 1447655857 | Christian L Moncrief Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Alliance Blvd, Suite 770, Plano, TX 75093-5340 | 2014-10-28 |
| 1740605849 | Matthew Wiggins | Physician Assistant | 4708 Alliance Blvd, 810, Plano, TX 75093-5340 | 2014-02-26 |
| 1447514831 | Diana Margaret Kedora | Nurse Practitioner | 4708 Alliance Blvd, Pavilion I, Suite 300, Plano, TX 75093-5340 | 2012-06-29 |
| 1023372422 | Amy Nicole Merritt | Nurse Practitioner | 4708 Alliance Blvd, Pavilion I, Suite 600, Plano, TX 75093-5340 | 2012-06-29 |
| 1871860882 | Orthopedic Associates of Dallas LLP | Orthopaedic Surgery | 4708 Alliance Blvd, Suite 310, Plano, TX 75093-5340 | 2011-11-18 |
| 1780961045 | Texas Neurosurgical Institute Pa | Nurse Practitioner | 4708 Alliance Blvd, Suite 830 Pavilion I, Plano, TX 75093-5340 | 2011-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780876466 | Aamer Agha | Internal Medicine | 6130 W Parker Rd Ste 516, Plano, TX 75093-8033 | 2007-08-15 |
| 1881624419 | Dick Paul Norgaard | Internal Medicine | 1600 W Plano Pkwy, Suite100, Plano, TX 75075-8643 | 2006-07-03 |
| 1669435889 | Gowri Balachandar | Internal Medicine | 4101 W. Spring Creek Pkwy., Suite 400, Plano, TX 75024-5321 | 2006-04-10 |
| 1871552224 | Son T Do | Internal Medicine | 3108 Midway Rd Ste 104, Plano, TX 75093 | 2006-03-22 |
| 1033178223 | Sindhu A Abraham | Internal Medicine | 3242 Preston Rd Ste 200, Plano, TX 75093-3311 | 2006-03-17 |
| 1871579169 | Grace C Vanesko | Internal Medicine | 3032 Communications Pkwy, Plano, TX 75093-8913 | 2005-12-19 |
| 1225663867 | North Texas Gi Hospitalists, LLC | Internal Medicine | 3901 W 15th St, Plano, TX 75075-7738 | 2020-03-04 |
| 1154652923 | Stuart Akerman | Internal Medicine | 3242 Preston Rd Ste 200, Plano, TX 75093-3311 | 2010-01-19 |
| 1629207550 | Christie Eae Park Choi | Internal Medicine | 3032 Communications Pkwy, Plano, TX 75093-8913 | 2009-07-13 |
| 1144463183 | Vincent Kuo | Internal Medicine | 3108 Midway Rd Ste 104, Plano, TX 75093 | 2009-04-07 |
| Find all providers in PLANO | ||||
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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.