SAJID PERVAIZ


Address: 1106 Colegate Dr, Marietta, OH 45750-1323
Phone: 7405682000

SAJID PERVAIZ (NPI# 1518133776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518133776
Entity Type Individual
Full Name SAJID PERVAIZ
Credential M.D.
Practice Address 1106 Colegate Dr
Marietta
OH 45750-1323
Mailing Address Po Box 449
Marietta
OH 45750-0449
Practice Telephone 7405682000
Practice Fax Number 7405682094
Mailing Telephone 7403744500
Mailing Fax Number 7403745887
Enumeration Date 2008-05-07
Last Update Date 2015-01-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 35.066379 OH Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
35066379 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 1106 COLEGATE DR
City MARIETTA
State OH
Zip Code 45750-1323

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619979291 Stephen R Mosberg Emergency Medicine 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 2005-08-12
1497135412 Selby General Hospital Rehabilitation Unit 1106 Colegate Dr, Marietta, OH 45750-1323 2015-06-04
1487093647 Niju Baby Narakathu Hospitalist 1106 Colegate Dr, Marietta, OH 45750-1323 2013-06-21
1780982991 Tiffany Ginger May Liean Heu Emergency Medicine 1106 Colegate Dr, Emergency Department, Marietta, OH 45750 2011-03-11
1346576956 Victoria Yulan Tong Emergency Medicine 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 2009-11-02
1417140500 Ellen Sue Mingus Dietitian, Registered 1106 Colegate Dr, Marietta, OH 45750-1323 2007-08-22
1265622831 Selby General Hospital General Acute Care Hospital 1106 Colegate Dr, Marietta, OH 45750-1323 2007-07-30
1669581880 Joseph Alexander Mack Hospitalist 1106 Colegate Dr, Marietta, OH 45750-1323 2006-08-30
1649388604 Elbert John Nash Emergency Medicine 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 2006-08-29
1588603112 John W. Ratzer Nurse Anesthetist, Certified Registered 1106 Colegate Dr, Marietta, OH 45750-1323 2006-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073111654 Mary V Byrd Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 37 Sterling Rd, Marietta, OH 45750 2020-10-15
1356997522 Jeffry Todd Arthur Pharmacist 401 Matthew Street Suite 100, Marietta, OH 45750 2019-08-14
1164965752 Jennifer Ann Simmons Counselor 121 Putnam St, Marietta, OH 45750 2016-11-30
1811449010 Kaylee Rebecca-ann Weihl Counselor 207 D Colegate Drive, Marietta, OH 45750 2016-11-04
1467802181 Jody Alden Registered Nurse 342 Muskingum Dr., Marietta, OH 45750 2016-06-14
1073998944 Rise A. Gibson Dental Hygienist 342 Muskingum Drive, Marietta, OH 45750 2015-07-21
1639559602 Washington County Board of Developmental Dissabilities Day Training, Developmentally Disabled Services 1701 Colegate Dr., Marietta, OH 45750 2015-06-04
1902290406 Irina Catanescu Emergency Medicine 401 Matthew Street, Emergency Department, Marietta, OH 45750 2015-03-23
1134520356 Susan Jahn Occupational Therapist 1338a Colegate Dr, Marietta, OH 45750 2014-09-08
1740696087 Melissa D Maston Registered Nurse Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 2014-07-08
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053885327 Clinica De La Salud Smyrna, Inc Family Medicine 1815 S Cobb Dr Se Ste 101, Marietta, GA 30060-4958 2019-01-19
1033689351 H&h Weight Loss LLC Family Medicine 3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064-1687 2018-11-29
1801380886 Virginia Hinton Family Medicine 1738 Bertram Ln Sw, Marietta, GA 30008-4138 2018-06-21
1285145573 Mitchell Scott Nudelman Family Medicine 577 Seminole Dr Ne, Marietta, GA 30060-1507 2017-10-13
1740649771 Christine Morris Family Medicine 141 Lacy St Nw Ste 100, Marietta, GA 30060-1117 2016-02-18
1891110268 Edith I. Okoi Chukwunyere Family Medicine 2337 Goodwood Dr Sw, Marietta, GA 30064-4335 2014-02-21
1629407549 Candace M. Walker Family Medicine 3707 Largent Way, Well Star West Cobb Family Practice, Marietta, GA 30064 2013-11-01
1982959987 Norman Glenn Marvin Family Medicine 4220 Lower Roswell Rd, Unit #7300, Marietta, GA 30068-4128 2012-07-17
1457626855 Gena Marie Mastrogianakis Family Medicine 3595 Canton Rd Ste 116-289, Marietta, GA 30066-2658 2012-03-19
1710271010 Roland Ngwang Family Medicine 2698 Foxglove Dr Sw, Marietta, GA 30064-4546 2011-06-03
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Competitor

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City MARIETTA
Zip Code 45750

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Dataset Information

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.

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