DR. MIR AHMAD WAZIRI (NPI# 1588629729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588629729 |
| Entity Type | Individual |
| Full Name | DR. MIR AHMAD WAZIRI |
| Credential | MD |
| Practice Address |
212 W Dale Street Suite 302 Waterloo IA 50703 |
| Practice Telephone | 3192353050 |
| Practice Fax Number | 3192350021 |
| Mailing Telephone | 3192353050 |
| Mailing Fax Number | 3192350021 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
27227 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0279836 | 05 | |
| IA | BLUE CROSS BLUE SHIELD | 27936 | 01 |
| Street Address |
212 W DALE STREET SUITE 302 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| 1649670852 | Sapna Aggarwal | Dentist | 905 Franklin St, Waterloo, IA 50703 | 2014-08-26 |
| Find all providers in zip 50703 | ||||
| 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 |
|---|---|---|---|---|
| 1013172360 | Michelle Nicole Kompare | Pediatrics | 3421 W 9th St, Waterloo, IA 50702-5401 | 2008-07-25 |
| 1912960485 | Andrew Barden | Pediatrics | 3421 W 9th St, Fbc G-3112, Waterloo, IA 50702-5401 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932447034 | Robert D. Shaw | Pediatrics | 13921 Lake Shore Dr, Des Moines, IA 50325-8643 | 2013-01-24 |
| 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 |
| 1467895474 | Shaliz Pourkaviani | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2013-04-09 |
| 1356636740 | Angela Jo Hanson | Pediatrics | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2011-06-14 |
| 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 |
| 1235464132 | Mercy Physician Associates, Inc. | Pediatrics | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2009-10-09 |
| Find all providers with the same taxonomy | ||||
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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.