MATTHEW A SHIRZADIAN (NPI# 1760038483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760038483 |
| Entity Type | Individual |
| Full Name | MATTHEW A SHIRZADIAN |
| Credential | NP |
| Practice Address |
1210 Gemini Pl Ste 300 Columbus OH 43240-6112 |
| Mailing Address |
9002 N Meridian St Ste 209 Indianapolis IN 46260-5350 |
| Practice Telephone | 6143836450 |
| Practice Fax Number | 6143836455 |
| Mailing Telephone | 3177067246 |
| Mailing Fax Number | 3178180929 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.025159 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN.CNP.025159 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN.CNP.025159 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1210 GEMINI PL STE 300 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43240-6112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437545050 | Omar Ali | Anesthesiology | 1210 Gemini Pl Ste 300, Columbus, OH 43240-6112 | 2015-04-10 |
| 1174130215 | Kyle A Smith | Nurse Practitioner | 1210 Gemini Pl Ste 300, Columbus, OH 43240-6112 | 2020-09-23 |
| 1861968463 | Gerald Rosenberg Md LLC | Clinic/Center | 1210 Gemini Pl Ste 300, Columbus, OH 43240-6112 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| 1184284176 | Atone Chiropractic, LLC | Clinic/Center | 8922 Lyra Dr., Columbus, OH 43240 | 2019-06-20 |
| 1467934802 | Stacey M Henry | Counselor | 8276 Tegmen St, Columbus, OH 43240 | 2018-09-02 |
| 1568825933 | Abigail Garnett | Speech-Language Pathologist | 8425 Pulsar Place, Suite 160, Columbus, OH 43240 | 2016-04-01 |
| 1629409479 | Amy Avery | Counselor | 8862 Commerce Loop Dr, Columbus, OH 43240 | 2013-12-04 |
| 1306195995 | Dr. Eric E. Neader, Inc. | Optometrist | 1500 Polaris Parkway, Suite # 1234, Columbus, OH 43240 | 2012-08-29 |
| 1477838282 | Nicholas P Colla | Pharmacist | 1040 Polaris Parkway, Columbus, OH 43240 | 2011-10-13 |
| 1588809958 | Gemini Medicine LLC | General Practice | 1510 Gemini Place, Columbus, OH 43240 | 2008-12-12 |
| 1932364296 | Justine Nnantege Ssebaggala | Licensed Practical Nurse | 9015 Barley Loft Drive, Columbus, OH 43240 | 2008-07-25 |
| 1487818720 | Irfan Khan | Dentist | 2023 Polaris Parkway, Columbus, OH 43240 | 2008-07-16 |
| Find all providers in zip 43240 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663665 | Antona Deann Napier | Nurse Practitioner | 1075 Great Oak Dr Apt I, Columbus, OH 43213-4514 | 2020-09-14 |
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1467060608 | Jessica Workman | Nurse Practitioner | 4135 Willow Hollow Dr, Columbus, OH 43230-1056 | 2020-07-14 |
| 1578181558 | Carolyn Minks | Nurse Practitioner | 1527 Berkshire Rd, Columbus, OH 43221-3905 | 2020-07-07 |
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1831723964 | Mh 102, PC | Nurse Practitioner | 1932 Wynnton Rd, Columbus, GA 31999-0001 | 2020-02-27 |
| 1972136422 | Junauh Mariah Allgood | Nurse Practitioner | 1006 11th Ave N Apt A, Columbus, MS 39701-3543 | 2020-02-12 |
| 1790325660 | Lisa Corinne Sofocleous | Nurse Practitioner | 250 Brodbelt Ln Apt 204, Columbus, OH 43215-2458 | 2020-01-08 |
| 1093366551 | Karla Kornsey | Nurse Practitioner | 23206 Columbus Rd Ste B, Columbus, NJ 08022-1904 | 2019-09-26 |
| 1083263651 | Vita Care LLC | Nurse Practitioner | 1425 Yorkland Road, Columbus, OH 43232-1686 | 2019-09-06 |
| Find all providers in COLUMBUS | ||||
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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.