MANA MOGHADAMFALAHI (NPI# 1689884876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689884876 |
| Entity Type | Individual |
| Full Name | MANA MOGHADAMFALAHI |
| Credential | M.D. |
| Practice Address |
1850 State St New Albany IN 47150-4990 |
| Mailing Address |
Po Box 1286 New Albany IN 47151-1286 |
| Practice Telephone | 8129484325 |
| Practice Fax Number | 5024564440 |
| Mailing Telephone | 5024566211 |
| Mailing Fax Number | 5024564440 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01073646A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201153720A | 05 | |
| KY | PASSPORT | 50083645 | 01 |
| KY | 7100240630 | 05 | |
| KY | ANTHEM | 000000875489 | 01 |
| Street Address |
1850 STATE ST |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-4990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010517 | Barry H Miller | Anesthesiology | 1850 State St, New Albany, IN 47150-4990 | 2005-08-22 |
| 1740800788 | Kayla Brockwell Jackson | Nurse Practitioner | 1850 State St, New Albany, IN 47150-4990 | 2020-04-20 |
| 1457986689 | Andrew Kost | Anesthesiology | 1850 State St, New Albany, IN 47150-4990 | 2020-03-09 |
| 1720627276 | Caitlin Elizabeth Tennyson | Dietitian, Registered | 1850 State St, New Albany, IN 47150-4990 | 2020-01-02 |
| 1457996332 | Angela Reynolds | Student in an Organized Health Care Education/Training Program | 1850 State St, New Albany, IN 47150-4990 | 2019-11-14 |
| 1811531221 | Ryan Michael Lane | Physician Assistant | 1850 State St, New Albany, IN 47150-4990 | 2019-10-30 |
| 1447893441 | Anne Marie Kron | Dietitian, Registered | 1850 State St, New Albany, IN 47150-4990 | 2019-10-22 |
| 1689217671 | Erin Kearney | Dietitian, Registered | 1850 State St, New Albany, IN 47150-4990 | 2019-10-22 |
| 1184271371 | Christopher Miller | Physician Assistant | 1850 State St, New Albany, IN 47150-4990 | 2019-08-22 |
| 1932753332 | Baptist Healthcare System, Inc. | Pharmacy | 1850 State St, New Albany, IN 47150-4990 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124016282 | Michael A Todd | Pathology | 200 Hwy 30 W, New Albany, MS 38652-3112 | 2005-10-12 |
| 1750524773 | James P Rizzo | Pathology | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2009-04-07 |
| 1013949684 | Walter D Jones | Pathology | 1850 State St, Pathology Dept, New Albany, IN 47150-4990 | 2006-07-06 |
| 1225060817 | Jayne L Hollander | Pathology | 1850 State St, Pathology Dept, New Albany, IN 47150-4990 | 2006-07-06 |
| 1326077421 | Drs Nedelkoff, Past and Jones | Pathology | 1850 State St, Pathology Dept, New Albany, IN 47150-4990 | 2006-07-01 |
| 1073583290 | David A Rankin | Pathology | 1850 State St, Pathology Dept, New Albany, IN 47150-4990 | 2006-01-23 |
| 1134102189 | Michael A Todd Md Pa | Pathology | 200 Hwy 30 W, New Albany, MS 38652-3112 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558125 | Nichole Landry Lepage | Pathology | 350 West 11th Street, Suite 4083, Indianapolis, IN 46202 | 2017-06-21 |
| 1871904532 | Michael J Hwang | Pathology | 350 W 11th St Rm 4080, Indianapolis, IN 46202-4108 | 2014-05-15 |
| 1720405814 | Jared Cobb | Pathology | 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 | 2014-03-26 |
| 1629337522 | Christin Hweisi Tsao | Pathology | 350 W 11th St Rm 5034, Indianapolis, IN 46202-4108 | 2012-05-11 |
| 1275779027 | Rick Bains | Pathology | 2560 N. Shadeland Ave., Ste. A, Indianapolis, IN 46219-1706 | 2008-12-29 |
| 1164677423 | Phoenix Clinical Labs Inc | Pathology | 8755 Guion Rd, Indianapolis, IN 46268-3047 | 2008-11-28 |
| 1457502841 | Swarna S Sikdar | Pathology | 430 Indiana Ave, Apt #326, Indianapolis, IN 46202 | 2008-10-04 |
| 1780848812 | Dean Harvey Lauer | Pathology | 2303 Throughwoods Dr, Valparaiso, IN 46385-7303 | 2008-07-17 |
| 1063612976 | Isabelle Ann Buehl | Pathology | 7994 West Road 75 North, Bargersville, IN 46106-9518 | 2007-07-19 |
| 1639378250 | Christopher Michael Carter | Pathology | 601 W 2nd St Rm 216, Bloomington, IN 47403 | 2007-07-13 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
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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.