DR. MORTEZA MIRHAIDARI (NPI# 1598775280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598775280 |
| Entity Type | Individual |
| Full Name | DR. MORTEZA MIRHAIDARI |
| Credential | DPM, MD |
| Practice Address |
152 N Broadway St Suite 100 New Philadelphia OH 44663-2665 |
| Practice Telephone | 3303648884 |
| Practice Fax Number | 3304407038 |
| Mailing Telephone | 3303648884 |
| Mailing Fax Number | 3306025747 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36.002348 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | 480005452 | 01 |
| OH | 0624793 | 05 |
| Street Address |
152 N BROADWAY ST SUITE 100 |
| City | NEW PHILADELPHIA |
| State | OH |
| Zip Code | 44663-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508028275 | Seana Todd Fortune | Counselor | 152 N Broadway St, Suite 200, New Philadelphia, OH 44663-2665 | 2008-06-25 |
| 1699883355 | Chrysalis Counseling Center, Inc. | Marriage & Family Therapist | 152 N Broadway St, Suite 200, New Philadelphia, OH 44663-2665 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538467 | Starlight Enterprises, Inc. | Day Training, Developmentally Disabled Services | 400 East High Ave, New Philadelphia, OH 44663 | 2020-11-04 |
| 1972103794 | Stephan Millik | Pharmacist | 231 Bluebell Dr N.w., New Philadelphia, OH 44663 | 2020-10-30 |
| 1487201273 | Pa-rtners In Primary Care, LLC | Clinic/Center | 436 Mistee Drive Sw, New Philadelphia, OH 44663 | 2019-08-26 |
| 1750860797 | Blythe Mccahan | Social Worker | 2419 East High Ave., New Philadelphia, OH 44663 | 2018-08-10 |
| 1093206781 | Always There Best Home Care LLC | Home Health | 1817 Reeds Run Rd Ne, New Philadelphia, OH 44663 | 2018-05-29 |
| 1528567591 | Celeste Renee Crissman | Behavior Technician | 567 Wabash Ave, New Philadelphia, OH 44663 | 2018-02-06 |
| 1154833655 | Next Level Sport and Spine LLC | Clinic/Center | 204 W. High Ave, New Philadelphia, OH 44663 | 2017-10-25 |
| 1063800910 | Lori Denise Williams | Occupational Therapy Assistant | 245 S. Broadway Street, New Philadelphia, OH 44663 | 2014-12-30 |
| 1619109428 | Choice Hearing Center, Inc. | Durable Medical Equipment & Medical Supplies | 1304 Fourth St. N.w., New Philadelphia, OH 44663 | 2009-08-12 |
| 1457505794 | Jo Ann Bartos | Massage Therapist | 1453 4th St Nw, New Philadelphia, OH 44663 | 2008-11-13 |
| Find all providers in zip 44663 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1063047942 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 155 Commerce Park Dr Ste 7, Westerville, OH 43082-8384 | 2020-03-11 |
| 1518599117 | Howard Waxman | Podiatrist | 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094-9019 | 2020-02-11 |
| 1346887510 | Performance Foot and Ankle, LLC | Podiatrist | 3727 Friendsville Rd Unit 2, Wooster, OH 44691-7127 | 2019-12-05 |
| 1053971200 | Lauren Digregorio Dpm | Podiatrist | 1502 Lear Industrial Pkwy Ste 1a, Avon, OH 44011-1380 | 2019-06-19 |
| 1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
| 1336611672 | Anthony G Polito Dpm Inc | Podiatrist | 4071 N Jefferson St, Medina, OH 44256-5622 | 2018-12-27 |
| 1023547957 | Phuoc Bui | Podiatrist | 4260 Glendale Mildford Rd. Ste 103, Blue Ash, OH 45242 | 2017-06-05 |
| 1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
| 1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
| City | NEW PHILADELPHIA |
| Zip Code | 44663 |
Please comment or provide details below to improve the information on DR. MORTEZA MIRHAIDARI.
| 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.