MINOUDOKHT AZIMI-ZAVAREI (NPI# 1649280827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649280827 |
| Entity Type | Individual |
| Full Name | MINOUDOKHT AZIMI-ZAVAREI |
| Credential | MD |
| Practice Address |
215 Washington St Grafton WI 53024 |
| Mailing Address |
215 Washington St Grafton WI 53024-1700 |
| Practice Telephone | 2623753700 |
| Practice Fax Number | 2623766032 |
| Mailing Telephone | 2623753700 |
| Mailing Fax Number | 2623766032 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 43879-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34389100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3003 W Good Hope Rd, Milwaukee, WI 532092042 | 4143523100 |
| Street Address |
215 WASHINGTON ST |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907254 | Jim Stewart | Physical Therapist | 215 Washington St, Grafton, WI 53024-1700 | 2005-07-28 |
| 1578174819 | Kaitlyn Schmidt | Occupational Therapist | 215 Washington St, Grafton, WI 53024-1700 | 2020-08-11 |
| 1437673738 | Abigail R Flancher | Physician Assistant | 215 Washington St, Grafton, WI 53024-1700 | 2017-07-28 |
| 1306382759 | Robyn Nothem | Nurse Practitioner | 215 Washington St, Grafton, WI 53024-1700 | 2017-01-10 |
| 1770970956 | Sarah Lindsey Casey | Obstetrics & Gynecology | 215 Washington St, Grafton, WI 53024 | 2015-04-24 |
| 1639590722 | Gregory C Wochos | Clinical Neuropsychologist | 215 Washington St, Grafton, WI 53024-1700 | 2013-12-17 |
| 1740558030 | Amanda Kathryn Stinson | Dietitian, Registered | 215 Washington St, Grafton, WI 53024-1700 | 2011-12-01 |
| 1093008963 | Frank J Gallo | Clinical Neuropsychologist | 215 Washington St, Grafton, WI 53024-1700 | 2011-05-25 |
| 1083843114 | Alexandra Cameli Carley | Dermatology | 215 Washington St, Grafton, WI 53024-1700 | 2009-07-10 |
| 1295922177 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 215 Washington St, Grafton, WI 53024-1700 | 2007-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1912065855 | Shannon J. Reinbold | Internal Medicine | 2061 Cheyenne Court, Grafton, WI 53024-9368 | 2006-12-04 |
| 1295741098 | Christopher Merrifield Schemm | Internal Medicine | 108 Route 121 East, Grafton, VT 05146-0177 | 2006-08-01 |
| 1306877733 | Beatrice L Hoolboom | Internal Medicine | 215 W Washington Street, Grafton, WI 53024 | 2006-07-05 |
| 1265482830 | Julie Chicks | Internal Medicine | 1990 Wisconsin Ave, Stop 1, Grafton, WI 53024-2601 | 2006-05-12 |
| 1528421369 | Mitchell R Elgin | Internal Medicine | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2016-03-30 |
| 1306230719 | David B Thompson | Internal Medicine | 975 Port Washington Rd, Grafton, WI 53024 | 2015-03-24 |
| 1518379221 | Julie Chicks, M.d. | Internal Medicine | 1990 Wisconsin Ave, Grafton, WI 53024-2601 | 2014-05-29 |
| 1982043105 | Francois Blumenfeld-kouchner | Internal Medicine | 975 Port Washington Rd, Grafton, WI 53024 | 2013-06-20 |
| 1720354640 | Anna Tyszkowska | Internal Medicine | 975 Port Washington Rd, Grafton, WI 53024 | 2012-03-25 |
| 1447539655 | Theresa E Sullivan | Internal Medicine | 975 Port Washington Rd, Grafton, WI 53024 | 2011-08-05 |
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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.