DR. RAHIM FAZEL (NPI# 1598081028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598081028 |
| Entity Type | Individual |
| Full Name | DR. RAHIM FAZEL |
| Credential | D.O. |
| Practice Address |
881 Ohare Pkwy Medford OR 97504-4005 |
| Practice Telephone | 9492638620 |
| Practice Fax Number | 8004097005 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 8004097005 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2015-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DO169889 | OR | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34.010202 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1669562864 | 05 | |
| OR | 500683931 | 05 |
| Street Address |
881 OHARE PKWY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083688402 | Oregon Advanced Imaging LLC | Radiologic Technologist | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2006-02-14 |
| 1134416464 | Oregon Advanced Imaging, LLC | Radiologic Technologist | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2011-07-07 |
| 1952543373 | Zachary Rice Heeter | Radiology | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2009-03-31 |
| 1619996766 | Shannon David Crawford | Specialist | 881 Ohare Pkwy, 5416226333, Medford, OR 97504-4005 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174765234 | Jeff Velez | Radiology | 64 Buzzells Ln, Medford, MA 02155-5932 | 2009-04-03 |
| 1164523312 | Paul Garrett | Radiology | 18 Fairview Rd, Medford, NJ 08055-9116 | 2006-09-26 |
| 1396857843 | Mid-island Medical Imaging, P.C. | Radiology | 1643c Route 112, Medford, NY 11763 | 2006-08-31 |
| 1558372706 | Sammy U Rehman | Radiology | 135 South Gibson Street, Medford, WI 54451-1622 | 2006-08-11 |
| 1336187608 | Hugh N Collier | Radiology | Lawrence Mem. Hospital, Dept. of Radiology, Medford, MA 02158 | 2006-06-02 |
| 1487647905 | James R Hills | Radiology | 842 E Main St, Medford, OR 97504-7134 | 2005-08-30 |
| 1679825400 | Nathan Thomas Mortensen | Radiology | 842 E Main St, Medford, OR 97504 | 2012-10-03 |
| 1750525671 | Joseph Chisung Kim | Radiology | 842 E Main St, Medford, OR 97504-7134 | 2009-04-22 |
| 1952543373 | Zachary Rice Heeter | Radiology | 881 Ohare Pkwy, Medford, OR 97504-4005 | 2009-03-31 |
| 1255505368 | Brett Madison Young | Radiology | 842 E Main St, Medford, OR 97504-7134 | 2008-04-18 |
| Find all providers in MEDFORD | ||||
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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.