BEHNOUSH JABERIAN DORAJI (NPI# 1467795625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467795625 |
| Entity Type | Individual |
| Full Name | BEHNOUSH JABERIAN DORAJI |
| Credential | P.A. |
| Practice Address |
3440 Bell St Unit 122 Amarillo TX 79109-4100 |
| Practice Telephone | 8063799225 |
| Practice Fax Number | 8063314497 |
| Mailing Telephone | 8063799225 |
| Mailing Fax Number | 8063314497 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA08130 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3440 BELL ST UNIT 122 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053359778 | Tonia Hudson | Physician Assistant | 3440 Bell St Unit 122, Amarillo, TX 79119 | 2006-06-03 |
| 1356982128 | Shauna Boltz | Nurse Practitioner | 3440 Bell St Unit 122, Amarillo, TX 79109-4100 | 2019-10-03 |
| 1073743332 | Elizabeth G Blodgett | Clinical Nurse Specialist | 3440 Bell St Unit 122, Amarillo, TX 79109-4100 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881766970 | Victoria Grace Wilkinson | Physician Assistant | 1301 S Coulter St Ste 201, Amarillo, TX 79106-1765 | 2006-11-14 |
| 1245279173 | Robert Alan Murphey | Physician Assistant | 24 Care Circle, Amarillo, TX 79124-2118 | 2006-06-06 |
| 1053359778 | Tonia Hudson | Physician Assistant | 3440 Bell St Unit 122, Amarillo, TX 79119 | 2006-06-03 |
| 1972083137 | Derald Phillips Jr. | Physician Assistant | 1901 Medi Park Dr Ste 2050, Amarillo, TX 79106-2109 | 2018-08-17 |
| 1902106420 | Brittany G Tate | Physician Assistant | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2010-11-01 |
| 1629389234 | Kristen M Rice | Physician Assistant | 4510 Bell St, Amarillo, TX 79109-5714 | 2010-06-29 |
| 1336466101 | Piper E Lockett | Physician Assistant | 1301 S Coulter St, Suite 413, Amarillo, TX 79106-1763 | 2010-05-03 |
| 1073849238 | Lisa Dawn Snow | Physician Assistant | 1901 Medi Park Dr, Bldg D Suite 2051, Amarillo, TX 79106-2110 | 2009-10-22 |
| 1275762874 | Jeremy Allen Parker | Physician Assistant | 1900 Medi Park Dr, Amarillo, TX 79106-2187 | 2009-07-06 |
| 1578634424 | Amber Soto | Physician Assistant | 6200 I-40 W, Amarillo, TX 79106-2512 | 2006-11-13 |
| Find all providers in AMARILLO | ||||
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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.