COMRON HASSANZADEH (NPI# 1629598446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629598446 |
Entity Type | Individual |
Full Name | COMRON HASSANZADEH |
Practice Address |
615 South New Ballas Transitional Medicine St. Louis MO 63141 |
Mailing Address |
615 S New Ballas Rd Saint Louis MO 63141-8221 |
Practice Telephone | (314) 509-5305 |
Practice Fax Number | 3142514454 |
Mailing Telephone | 3145095305 |
Mailing Fax Number | 3142514454 |
Enumeration Date | 2017-06-22 |
Last Update Date | 2017-06-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2017020695 | MO | Allopathic & Osteopathic Physicians |
Street Address |
615 SOUTH NEW BALLAS TRANSITIONAL MEDICINE |
City | ST. LOUIS |
State | MO |
Zip Code | 63141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023370020 | Teresa Hilgers | Obstetrics & Gynecology | 615 South New Ballas, Department of Obstetrics and Gynecology, St. Louis, MO 63141 | 2012-06-14 |
1356861264 | Kelsey Seger | Internal Medicine | 615 South New Ballas, St. Louis, MO 63131 | 2017-06-21 |
1548780653 | Andrew Michael Futterman | Obstetrics & Gynecology | 615 South New Ballas, Ob/gyn, St. Louis, MO 63141 | 2017-06-21 |
1295255115 | Jessica Piontek | Dermatology | 615 South New Ballas, St. Louis, MO 63141 | 2017-06-21 |
1962842724 | Shakira Dawn Powell | Obstetrics & Gynecology | 615 South New Ballas, Dept of Ob/gyn, St. Louis, MO 63341 | 2013-06-26 |
1427498351 | Jeffrey Dines | Radiology | 615 South New Ballas, Typ, St. Louis, MO 63141-6202 | 2013-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
Find all providers in zip 63141 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1114969144 | Robert Gordon Swanson | Radiology | 6420 Clayton Rd., St. Mary's Health Center, St. Louis, MO 63117-1850 | 2006-06-12 |
1669443248 | Veena D Divecha | Radiology | Center for Radiation Medicine, 3685 Vista Avenue, St. Louis, MO 63110-6311 | 2006-01-31 |
1033613047 | Kylie Haemin Kang | Radiology | 660 South Euclid Avenue, St. Louis, MO 63110-1010 | 2018-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778228 | Central Care, Pa | Radiology | 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 | 2020-10-23 |
1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
1568721454 | Jason Matthew Edwards | Radiology | 232 S Woods Mill Rd Ste 110e, Chesterfield, MO 63017 | 2012-05-11 |
1649569385 | Sagar Chandravadan Patel | Radiology | 211 Saint Francis Dr Ste 372, Cape Girardeau, MO 63703-5049 | 2011-04-04 |
1922326958 | Yvonne Thanh-nga D Pham | Radiology | 6601 Winchester Ave Ste 230, Kansas City, MO 64133-4681 | 2010-05-14 |
1811158587 | Benjamin Bin Yan | Radiology | 1111 Kentucky Ave., Omc Cancer Treatment Center, West Plains, MO 65775-2028 | 2008-06-24 |
1336338912 | Joseph Fields | Radiology | 9 Heather Hill Ln, Saint Louis, MO 63132-4105 | 2007-10-18 |
1205033941 | Associates In Tumor Therapy, Chartered | Radiology | 2801 Clearwater Ct, Joplin, MO 64801-8239 | 2007-06-27 |
1700916848 | Bethesda Resources Inc | Radiology | 1124 N Main St, Sikeston, MO 63801-5046 | 2007-03-07 |
1588794812 | Bethesda Resources Inc | Radiology | 1175 E Karsch Blvd, Farmington, MO 63640-3408 | 2007-03-06 |
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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.