SHAHLA FOROOTAN (NPI# 1811341183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811341183 |
| Entity Type | Individual |
| Full Name | SHAHLA FOROOTAN |
| Other Name | SHAHLA FOROOTAN |
| Credential | M.D. |
| Practice Address |
34 N French Pl Prescott AZ 86303-6257 |
| Practice Telephone | 9287784629 |
| Practice Fax Number | 9287784629 |
| Mailing Telephone | 9287784629 |
| Mailing Fax Number | 9287784629 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
15747 | AZ | Ambulatory Health Care Facilities |
| Street Address |
34 N FRENCH PL |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982094819 | Priority Health | Clinic/Center | 3181 Clearwater Dr, Suite B, Prescott, AZ 86305-7118 | 2015-01-30 |
| 1598376766 | Arak LLC | Clinic/Center | 3124 Willow Creek Rd, Prescott, AZ 86301-6610 | 2020-08-12 |
| 1609346352 | Infinity Family Wellness | Clinic/Center | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 | 2018-11-26 |
| 1154868867 | Krupnick Healthcare, LLC | Clinic/Center | 3181 Clearwater Dr, Suite B, Prescott, AZ 86305-7196 | 2017-01-20 |
| 1447652029 | B Healthy Family Medicine, LLC | Clinic/Center | 1000 Willow Creek Rd, Suite B, Prescott, AZ 86301-1645 | 2014-09-25 |
| 1477857159 | Your Health Clinic, Pllc | Clinic/Center | 724 N Montezuma St Ste A, Prescott, AZ 86301-2066 | 2011-01-10 |
| 1427365287 | Gladhart Family Medicine | Clinic/Center | 820 Ainsworth Dr, Suite A, Prescott, AZ 86301-1613 | 2010-09-01 |
| 1346577632 | Richard Covey, Md, PC | Clinic/Center | 3155 Stillwater Dr, Suite B, Prescott, AZ 86305-7172 | 2009-11-09 |
| 1679505812 | Michele M Peters Fnp | Clinic/Center | 1000 Ainsworth Dr, Ste A220, Prescott, AZ 86305-1645 | 2006-07-07 |
| 1275526402 | Physician Business Services, LLC | Clinic/Center | 1040 Whipple St, Suite 209, Prescott, AZ 86305-1613 | 2005-08-23 |
| Find all providers in PRESCOTT | ||||
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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.