KASRA A NABIZADEH (NPI# 1457370306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457370306 |
| Entity Type | Individual |
| Full Name | KASRA A NABIZADEH |
| Credential | M.D. |
| Practice Address |
6484 Fort Caroline Rd Jacksonville FL 32277-2042 |
| Practice Telephone | 9047447300 |
| Practice Fax Number | 9047224271 |
| Mailing Telephone | 9047447300 |
| Mailing Fax Number | 9047224271 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME51611 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 049222100 | 05 |
| Street Address |
6484 FORT CAROLINE RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32277-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144222696 | Elaine G Holmes | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2005-08-15 |
| 1225656085 | Kameron David Mullaney | Physician Assistant | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2020-07-08 |
| 1356998280 | Chima Ekwueme | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2019-08-26 |
| 1033609789 | Anissa Brisbane-mcfadden | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2018-05-17 |
| 1669913448 | Lalita Kummeth | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2017-03-14 |
| 1386017689 | Amanda Dupree | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2015-11-09 |
| 1750761094 | Andrew Jervey Hunt | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2015-06-02 |
| 1407259476 | Carolyn Mcclinton | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2014-10-03 |
| 1659773562 | James Beatty | Physician Assistant | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 2014-09-23 |
| 1629310909 | Arun Joseph | Pediatrics | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2013-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1376042176 | Seginald Rashaad Chaney | Adult Companion | 5885 Edenfield Rd, Charter Landing Apartments Apt E-10, Jacksonville, FL 32277 | 2018-02-07 |
| 1578966875 | Erin Chretien | Behavioral Analyst | 3780 University Club Blvd Apt 3204, Jacksonville, FL 32277 | 2014-09-30 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1982977443 | A1 Care Systems Inc | Assisted Living Facility | 7449 Sandhurst Rd S, Jacksonville, FL 32277 | 2012-02-14 |
| 1851453211 | Ajay Doddapaneni | Radiology | 7920 Merrill Rd Unit 708, Jacksonville, FL 32277 | 2006-12-14 |
| 1821184565 | Ramsey Bader Salem | Dentist | 6237 Merrill Road, Jacksonville, FL 32277 | 2006-10-04 |
| 1164697157 | Brianne Graves | Psychologist | 3517 Peeler Rd, Unit 11, Jacksonville, FL 32277-0616 | 2008-04-29 |
| 1407217391 | Kathleen Bashore | Occupational Therapy Assistant | 8057 Le Havre Dr N, Jacksonville, FL 32277-0902 | 2016-03-18 |
| 1518431394 | Daniel Corristan | Specialist/Technologist | 7721 Leesburg Dr S, Jacksonville, FL 32277-0925 | 2019-01-15 |
| Find all providers in zip 32277 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1710494000 | Jacksonville Lung Clinic Pllc | Internal Medicine | 2624 Atlantic Blvd Ste 6, Jacksonville, FL 32207-3633 | 2018-01-08 |
| 1477784247 | Akram M. Shibani | Internal Medicine | 4203 Belfort Rd Ste 4015, Jacksonville, FL 32216-1409 | 2009-07-28 |
| 1689817405 | Baptist Pulmonary Specialists Inc | Internal Medicine | 3563 Philips Hwy Ste 101a, Jacksonville, FL 32207-5663 | 2009-04-09 |
| 1992894604 | Eusebio Chiong Desuyo | Internal Medicine | 123 Pompano Pl, Suite 100, Jacksonville, NC 28546-5292 | 2006-10-12 |
| 1609832534 | Earl Howard Eye Jr. | Internal Medicine | 1842 Hickman Rd, Jacksonville, FL 32216-4443 | 2006-04-20 |
| 1104806892 | Raymond Manuel Pumarejo | Internal Medicine | 425 N. Lee St, # 203, Jacksonville, FL 32204-1128 | 2006-01-19 |
| 1427692698 | Kayla Schmelz | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-10-31 |
| 1700271343 | Stuart Fiadh Shah | Internal Medicine | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-03-31 |
| 1588077804 | Renato Filart Blanco Jr. | Internal Medicine | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2014-06-04 |
| 1043573769 | Aakash M Modi | Internal Medicine | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2012-06-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32277 |
Please comment or provide details below to improve the information on KASRA A NABIZADEH.
| 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.