LADAN MOSTAGHIMI TEHRANI (NPI# 1720057920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720057920 |
| Entity Type | Individual |
| Full Name | LADAN MOSTAGHIMI TEHRANI |
| Credential | MD |
| Practice Address |
451 Junction Rd Madison WI 53717 |
| Mailing Address |
123 Hospital Dr Ste 110 Watertown WI 53098-3320 |
| Practice Telephone | 6082657670 |
| Practice Fax Number | 6082657759 |
| Mailing Telephone | 9202624800 |
| Mailing Fax Number | 9202624813 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 41708 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
41718 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
451 JUNCTION RD |
| City | MADISON |
| State | WI |
| Zip Code | 53717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517320 | Melinda Kay Rose | Nurse Practitioner | 451 Junction Rd, Madison, WI 53717-2656 | 2005-09-02 |
| 1730714973 | Carly A Cook | Nurse Practitioner | 451 Junction Rd, Madison, WI 53717-2656 | 2020-03-09 |
| 1598314304 | Bethany Garcia | Psychologist | 451 Junction Rd, Madison, WI 53717-2656 | 2019-09-05 |
| 1639726714 | Haley Allison Hunsicker | Social Worker | 451 Junction Rd, Madison, WI 53717-2656 | 2019-08-22 |
| 1649824673 | Kathryn L Sklenar | Physician Assistant | 451 Junction Rd, Madison, WI 53717-2656 | 2019-07-29 |
| 1598329682 | Megan Rose Foss | Registered Nurse | 451 Junction Rd, Madison, WI 53717-2656 | 2019-04-24 |
| 1548726110 | Kathleen Siobhan Mccraw | Psychologist | 451 Junction Rd, Madison, WI 53717-2656 | 2019-02-19 |
| 1376029959 | Briana Beyer | Physician Assistant | 451 Junction Rd, Madison, WI 53717-2656 | 2018-07-17 |
| 1194228809 | Eryn Elizabeth Bresser | Physician Assistant | 451 Junction Rd, Madison, WI 53717-2656 | 2018-03-09 |
| 1790298412 | University of Wisconsin Hospitals and Clinics Authority | Durable Medical Equipment & Medical Supplies | 451 Junction Rd, Madison, WI 53717-2656 | 2017-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851249 | Pure Skin Dermatology & Oncology, Inc | Dermatology | 12205 County Line Rd Ste D, Madison, AL 35758-7720 | 2019-09-30 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1689028029 | Katelyn Zimmer | Dermatology | 8331 Madison Blvd Ste 300, Madison, AL 35758-2073 | 2016-04-22 |
| 1285912402 | Thomas D Keenan | Dermatology | 1 S Park St, 7th Floor, Department of Dermatology,university of Wisconsin, Madison, WI 53715-0001 | 2011-07-22 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1548471071 | Joya Sahu | Dermatology | 44 Hughes Rd Ste 100, Madison, AL 35758-3045 | 2007-05-25 |
| 1972656650 | Yaohui Gloria Xu | Dermatology | 1 S. Park Street, 7th Floor, Madison, WI 53715 | 2007-01-18 |
| 1699736991 | Anne E Rosin | Dermatology | 2009 Madison St, Madison, WI 53711-2129 | 2006-03-28 |
| 1497724629 | Rita Lloyd | Dermatology | 1316 Morrison St, Madison, WI 53703-3812 | 2006-03-17 |
| 1629040886 | Donald Richard Greene | Dermatology | 80 Randi Dr, Madison, CT 06443-2462 | 2006-02-02 |
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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.