MARIAM BAKRAN MIRZA (NPI# 1376831107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376831107 |
| Entity Type | Individual |
| Full Name | MARIAM BAKRAN MIRZA |
| Credential | M.D. |
| Practice Address |
133 Lancaster Ave Devon PA 19333-1503 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 4845812990 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD452979 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861564 | Mariam Mirza | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-04-28 |
| Street Address |
133 LANCASTER AVE |
| City | DEVON |
| State | PA |
| Zip Code | 19333-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508961426 | Taher Hashim Vajihuddin | Internal Medicine | 133 Lancaster Ave, Devon, PA 19333-1503 | 2006-09-14 |
| 1073007878 | Michael Vincent Suffredini | Family Medicine | 133 Lancaster Ave, Devon, PA 19333-1503 | 2018-06-15 |
| 1891240099 | Patient First Pennsylvania Medical Group | Non-Pharmacy Dispensing Site | 133 Lancaster Ave, Devon, PA 19333-1503 | 2016-08-18 |
| 1982157764 | Dennis Conor Cullen | Family Medicine | 133 Lancaster Ave, Devon, PA 19333-1503 | 2016-07-28 |
| 1346690864 | Patient First Pennsylvania Medical Group Pllc | Family Medicine | 133 Lancaster Ave, Devon, PA 19333-1503 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629424601 | Hcr Manorcare | Clinic/Center | 235 E Lancaster Ave, Devon, PA 19333 | 2016-05-10 |
| 1528444353 | Erin Heemann | Counselor | 237 West Lancaster Ave., Devon, PA 19333 | 2015-08-04 |
| 1790184596 | Dine Monte Nido, LLC | Specialist | 237 East Lancaster Ave, Devon, PA 19333 | 2014-08-18 |
| 1902155088 | Theresa Grass | Occupational Therapist | 445 N. Valley Forge Road, Devon, PA 19333 | 2012-09-05 |
| 1033393707 | Goodsir Chiropractic Center Inc. | Chiropractor | 45 Berkley Rd., Devon, PA 19333 | 2007-12-18 |
| 1144417759 | Daniel T Rubino Md PC | Specialist | 176 East Conestoga Road, Devon, PA 19333 | 2007-09-27 |
| 1871783050 | Paul Leroy Anderson Jr. | Dentist | 882 Lancaster Ave, Devon, PA 19333 | 2007-07-25 |
| 1245369297 | Elyse S. Rubenstein | Psychologist | 185 Ladderback Ln., Devon, PA 19333 | 2007-03-05 |
| 1407998255 | D Katherine K Krentel | Registered Nurse | 237 Lancaster Ave, Kairos Counseling Services Suite 215, Devon, PA 19333 | 2007-02-12 |
| 1275606949 | Linda K Himmelberger | Dentist | 227 Lancaster Ave, Devon, PA 19333 | 2006-11-17 |
| Find all providers in zip 19333 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487753547 | Devon Family Practice LLP | Family Medicine | 139 Berkeley Road, Devon, PA 19333-1544 | 2006-09-22 |
| 1295840692 | Robert J Lawlor | Family Medicine | 139 Berkeley Rd, Devon, PA 19333-1544 | 2006-08-19 |
| 1073007878 | Michael Vincent Suffredini | Family Medicine | 133 Lancaster Ave, Devon, PA 19333-1503 | 2018-06-15 |
| 1831626175 | Kelly Nicole Strickler | Family Medicine | 139 Berkley Rd, Devon, PA 19333-1544 | 2017-05-17 |
| 1982157764 | Dennis Conor Cullen | Family Medicine | 133 Lancaster Ave, Devon, PA 19333-1503 | 2016-07-28 |
| 1346690864 | Patient First Pennsylvania Medical Group Pllc | Family Medicine | 133 Lancaster Ave, Devon, PA 19333-1503 | 2016-06-15 |
| 1063859429 | Kathleen Kent Lawlor | Family Medicine | 139 Berkley Rd, Devon, PA 19333-1544 | 2013-05-24 |
| 1952621500 | Donald J Rosato | Family Medicine | 176 E Conestoga Rd, Devon, PA 19333-1211 | 2010-06-06 |
| 1205925682 | Beck Soderberg | Family Medicine | 139 Berkeley Rd, Devon, PA 19333-1544 | 2006-10-12 |
| 1497860043 | Frank H Furman | Family Medicine | 139 Berkeley Rd, Devon, PA 19333-1544 | 2006-08-21 |
| Find all providers in DEVON | ||||
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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.