MR. NOSRATOLLAH HEIDARIAN SR. (NPI# 1700988441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700988441 |
| Entity Type | Individual |
| Full Name | MR. NOSRATOLLAH HEIDARIAN SR. |
| Credential | DPM |
| Practice Address |
9530 Viscount Ste 2p El Paso TX 79925 |
| Practice Telephone | 9155914499 |
| Practice Fax Number | 9155913011 |
| Mailing Telephone | 9155914499 |
| Mailing Fax Number | 9155913011 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1043P | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1104721036 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | B19A | 01 |
| TX | AETNA | 4209016 | 01 |
| Street Address |
9530 VISCOUNT STE 2P |
| City | EL PASO |
| State | TX |
| Zip Code | 79925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265604532 | Arma Velasquez,d.p.m | Podiatrist | 8920 Gateway East Blvd., Suite 1, El Paso, TX 79907-1828 | 2008-03-27 |
| 1629117080 | Gabriel Lazar | Podiatrist | 1635 N Lee Trevino Dr Ste C, El Paso, TX 79936-5175 | 2007-02-05 |
| 1104970862 | Jon M Wilson Jr. | Podiatrist | 615 N Zaragoza Rd, El Paso, TX 79907-4773 | 2007-01-22 |
| 1821029505 | David Brent Williams | Podiatrist | 1533 N Lee Trevino Dr, C1, El Paso, TX 79936-5170 | 2006-07-05 |
| 1356384622 | Foot Specialists of El Paso | Podiatrist | 1501 N Mesa St, Suite 104, El Paso, TX 79902-4046 | 2006-06-14 |
| 1275581068 | Hao Quang Do | Podiatrist | 1850 Hunter Dr., Ste. 107, El Paso, TX 79915-1549 | 2006-05-04 |
| 1477526457 | Ep Foot Care, Pa | Podiatrist | 4659 Cohen Ave., Suite A, El Paso, TX 79924-4415 | 2006-02-09 |
| 1750352449 | Charles I Pittle | Podiatrist | 1225 E Cliff Dr Ste 2a, El Paso, TX 79902-4700 | 2006-01-30 |
| 1912995895 | Gary S Grindstaff | Podiatrist | 5547 N Mesa, #a, El Paso, TX 79912 | 2005-10-13 |
| 1376542563 | Glazar Medical Pa | Podiatrist | 1635 N Lee Trevino Dr, Ste C, El Paso, TX 79936-5175 | 2005-07-19 |
| Find all providers in EL PASO | ||||
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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.