NIMA MOGHADDAS (NPI# 1376625426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376625426 |
| Entity Type | Individual |
| Full Name | NIMA MOGHADDAS |
| Credential | DPM |
| Practice Address |
37 Palmer St Suite 3 Calais ME 04619-1305 |
| Practice Telephone | 2074548195 |
| Practice Fax Number | 2074543840 |
| Mailing Telephone | 2074548195 |
| Mailing Fax Number | 2074543840 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
POD1001 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | STATE LICENSE | POD1001 | 01 |
| ME | 235700099 | 05 |
| Street Address |
37 PALMER ST SUITE 3 |
| City | CALAIS |
| State | ME |
| Zip Code | 04619-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861468761 | Michael W Kessler | Orthopaedic Surgery | 37 Palmer St, Suite 1, Calais, ME 04619-1305 | 2006-02-28 |
| 1104319169 | Ericka Karen Marshall | Family Medicine | 37 Palmer St, Calais, ME 04619 | 2018-06-13 |
| 1134200702 | Calais Regional Hospital | Clinic/Center | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-18 |
| 1003902271 | Ann P Simmons | Pediatrics | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-05 |
| 1093801102 | David J Simmons | Internal Medicine | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-05 |
| 1679669725 | Anne C Perry | Nurse Practitioner | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-05 |
| 1326134297 | Carlos A Ahumada | Family Medicine | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-05 |
| 1649366741 | Nancy O Green | Advanced Practice Midwife | 37 Palmer St, Calais, ME 04619-1305 | 2006-10-05 |
| 1124124904 | Christopher G Scalabrin | Nurse Practitioner | 37 Palmer St, Calais, ME 04619-1305 | 2006-09-16 |
| 1932169083 | Francis Y Lee | Internal Medicine | 37 Palmer St, Calais, ME 04619-1305 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554209 | Jahoon Koo | Nurse Practitioner | 24 Hospital Lane Calais, Calais, ME 04619 | 2018-07-17 |
| 1114458080 | Helpinghand 643939nbltd | Homemaker | 295 North Street, Calis, ME 04619 | 2017-03-23 |
| 1992063440 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 376 North Maine Street, Suite C, Calais, ME 04619 | 2012-05-02 |
| 1275820672 | Karen L Sears | Pharmacist | 223 and 233 North Street, Calais, ME 04619 | 2011-07-06 |
| 1376857458 | David L Wyman | Pharmacist | 223 and 233 North St, Rite Aid Pharmacy, Calais, ME 04619 | 2010-08-02 |
| 1902132038 | Brenda Ann Spear | Developmental Therapist | 23 Center Street, Baring Plt., ME 04619 | 2009-10-24 |
| 1285762328 | City of Calais | Clinic/Center | 34 Blue Devil Hill, Calais, ME 04619 | 2007-03-01 |
| 1467540930 | Brian Earle Thompson | Social Worker | 55 Franklin Street, Eastport Health Care, Calais, ME 04619 | 2006-10-10 |
| 1588770689 | William Robert Gould | Dentist | 399 Main Steet, Calais, ME 04619 | 2006-08-22 |
| 1588637532 | Edward C Barrera | Radiology | 24 Hospital Lane, Calais, ME 04619 | 2006-02-09 |
| Find all providers in zip 04619 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306068093 | David G Hutchins | Podiatrist | 112 River Rd, Chelsea, ME 04330-1009 | 2007-05-03 |
| 1700911955 | Alan L. Lipman | Podiatrist | 2 Hillcrest St, Augusta, ME 04330-6206 | 2007-02-21 |
| 1821141326 | William K Dahl | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2007-01-19 |
| 1427116300 | Jil A Beaupain | Podiatrist | 92 Woodbridge Corner Rd, Sherman, ME 04776-3330 | 2006-12-04 |
| 1699931121 | Robert F Anderson D.p.m.,m.d.,p.a. | Podiatrist | 900 Broadway, Building#1, Bangor, ME 04401-1900 | 2008-08-04 |
| 1073790184 | Joseph M. Constantine | Podiatrist | 300 Hammond St, Bangor, ME 04401-4645 | 2008-01-31 |
| 1174712319 | Roy B Corbin Dpm | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2007-10-23 |
| 1710030226 | Heidi A Brewer | Podiatrist | 205 French St, Bangor, ME 04401-5064 | 2007-01-19 |
| 1063419869 | Michele N Kurlanski | Podiatrist | 23 Spring St, Scarborough, ME 04074-7701 | 2005-07-07 |
Please comment or provide details below to improve the information on NIMA MOGHADDAS.
| 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.