DR. FARAH BOZORGI (NPI# 1609054675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609054675 |
| Entity Type | Individual |
| Full Name | DR. FARAH BOZORGI |
| Credential | M.D. |
| Practice Address |
9109 Liberty Rd Randallstown MD 21133-3521 |
| Mailing Address |
5312 62nd Ave Riverdale MD 20737-3214 |
| Practice Telephone | 4106557373 |
| Practice Fax Number | 4109223649 |
| Mailing Telephone | 3018640051 |
| Mailing Fax Number | 3018640051 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2011-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
D0071493 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
9109 LIBERTY RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278510 | Cheryl Goddard | Nurse Practitioner | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2006-03-09 |
| 1811595093 | Kelsey Johnson | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2020-10-11 |
| 1427696376 | Liberty Rd Randallstown Md Opco LLC | Nursing Facility/Intermediate Care Facility | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-12-11 |
| 1285281766 | Kimberly Whelan | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-08-20 |
| 1912567363 | Brenda Williams-whitehead | Registered Nurse | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-06-18 |
| 1639633977 | Garrett Michael Torchiani | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2019-01-30 |
| 1912493545 | Ebone Leach | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2018-07-06 |
| 1538651344 | Bhumi Patel | Physical Therapist | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2018-06-06 |
| 1902309883 | Caleb Mitzel | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133 | 2018-03-16 |
| 1306358148 | Monal Atulkumar Graham | Physical Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409253 | Health Practice Partners LLC | Internal Medicine | 8028 Ritchie Hwy Ste 210b, Pasadena, MD 21122-1059 | 2019-07-22 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1598252371 | Wayne Medical Associate, Inc. | Internal Medicine | 7207 Hanover Pkwy Ste A, Greenbelt, MD 20770-2089 | 2018-04-17 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1982102943 | 3s Health LLC | Internal Medicine | 10400 Connecticut Ave Ste 206, Kensington, MD 20895-3941 | 2018-01-24 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1912371832 | Phillip W. Stone, Md, LLC | Internal Medicine | 16013 Fields End Ct, Woodbine, MD 21797-7542 | 2015-11-16 |
| 1598023194 | Health First Medical Care LLC | Internal Medicine | 9650 Santiago Rd Ste 6, Columbia, MD 21045-3960 | 2012-05-02 |
| 1609141795 | Mattan Schuchman | Internal Medicine | 5210 Eastern Ave, Alpha Center #127, Baltimore, MD 21224 | 2012-03-21 |
| 1013204171 | Chantal Youssef | Internal Medicine | 13105 Bucks Ridge Ct, Ellicott City, MD 21042 | 2011-07-08 |
| Find all providers with the same taxonomy | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
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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.