SHALIZ POURKAVIANI (NPI# 1467895474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467895474 |
| Entity Type | Individual |
| Full Name | SHALIZ POURKAVIANI |
| Credential | MD |
| Practice Address |
701 10th St Se Cedar Rapids IA 52403-1292 |
| Mailing Address |
186 S. Orange Ave, F603 Umdnj Pediatric Education Newark NJ 07101 |
| Practice Telephone | 3193986011 |
| Mailing Telephone | 9739726015 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
285686 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 10th Ave, New York, NY 100191147 | 2125234000 |
| Street Address |
701 10TH ST SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284421 | Chad Abernathey | Neurological Surgery | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2005-06-09 |
| 1942821244 | Nicole Sporrer | Registered Nurse | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-04-28 |
| 1669003075 | Keri Zimmerman | Internal Medicine | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-02-04 |
| 1033740311 | Jessica Leigh Robinson | Physician Assistant | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-27 |
| 1144850389 | Kendall Anne Deitering | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-16 |
| 1316586159 | Lindsay Nicole Ehlers | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-12-26 |
| 1467007096 | Hanna Bishop Molinari | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-08-09 |
| 1659931269 | Jessica Bettmann | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-06-17 |
| 1013574250 | William James Halls | Pharmacist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-23 |
| 1851957732 | Jennifer Lori Somerville | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1356636740 | Angela Jo Hanson | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2011-06-14 |
| 1235464132 | Mercy Physician Associates, Inc. | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2009-10-09 |
| 1346446846 | Mercycare Management | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2007-06-22 |
| 1811042781 | Andrew Carl Nordine | Pediatrics | 1026 A Ave Ne, Cwch 2-2, Cedar Rapids, IA 52402-5036 | 2007-01-23 |
| 1477516474 | Dennis Rosenblum | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2006-04-10 |
| 1518941087 | Roger Lee Allen | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932447034 | Robert D. Shaw | Pediatrics | 13921 Lake Shore Dr, Des Moines, IA 50325-8643 | 2013-01-24 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1790778777 | Norma J Hirsch | Pediatrics | 401 Railroad Pl, West Des Moines, IA 50265-4730 | 2005-08-25 |
| 1568997674 | Stephania Paulette Cavallaro-moronta | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-04-26 |
| 1861861775 | Trassanee Chatmethakul | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242 | 2015-09-21 |
| 1376943175 | Ranjani Ananth | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2014-08-28 |
| 1275823924 | Olajide Olabanjo Dolapo | Pediatrics | 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 | 2011-04-14 |
| 1306158456 | Brady J'nee Thomas | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2010-07-06 |
| 1740412766 | Usama Younis | Pediatrics | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 2009-08-10 |
| 1013172360 | Michelle Nicole Kompare | Pediatrics | 3421 W 9th St, Waterloo, IA 50702-5401 | 2008-07-25 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
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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.