MOHAMMAD DJAFARI MD (NPI# 1457895278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457895278 |
| Entity Type | Organization |
| Organization Name | MOHAMMAD DJAFARI MD |
| Practice Address |
15-17 Kennedy Parkway Cortland NY 13045 |
| Practice Telephone | 6077533051 |
| Practice Fax Number | 6077537735 |
| Mailing Telephone | 6077533051 |
| Mailing Fax Number | 6077537735 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | DR. MOHAMMAD DJAFARI (OWNER) |
| Authorized Official Telephone | 6077533051 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 007997 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382461 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208000000X | Pediatrics | 211106 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | H08462 | 05 |
| Street Address |
15-17 KENNEDY PARKWAY |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| 1679852016 | Cortland Audiology, PC | Hearing Aid Equipment | 1033 State Route 13, Cortland, NY 13045 | 2011-08-16 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| 1508942400 | Premier Care Pediatrics, Inc. | Pediatrics | 2642 Elm Rd., Cortland, OH 44410 | 2006-10-31 |
| 1043203821 | Lynn Marie Johnson | Pediatrics | 550 Trumbull Ave, Cortland, OH 44410-9403 | 2005-08-26 |
| 1528051471 | John Ovid Vlad | Pediatrics | 2654 Elm Rd Ne, Cortland, OH 44410-9393 | 2005-08-25 |
| 1871593632 | Maria D Kowal | Pediatrics | 2642 Elm Rd Ne, Cortland, OH 44410-9393 | 2005-07-22 |
| 1104273697 | Cheryl Dumond-martinez | Pediatrics | 24 Groton Ave, Cortland, NY 13045 | 2016-05-16 |
| 1477985497 | Fadi Amin Alass | Pediatrics | 24 Groton Ave, Cortland, NY 13045-2014 | 2013-08-01 |
| 1841529229 | Cathy Zarzecki Physician, PC | Pediatrics | 11 Alvena Ave, Suite 105, Cortland, NY 13045-1150 | 2009-12-15 |
| 1568613099 | Lynn M. Johnson Md, Pllc | Pediatrics | 550 Trumbull Ave, Cortland, OH 44410-9403 | 2008-10-02 |
| 1306093091 | Amy Y Difabio | Pediatrics | 24 Groton Ave, Cortland, NY 13045 | 2008-08-25 |
| Find all providers in CORTLAND | ||||
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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.