DR ALI KHOJASTEH MEDEXCELLENCE LLC (NPI# 1831586247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831586247 |
| Entity Type | Organization |
| Organization Name | DR ALI KHOJASTEH MEDEXCELLENCE LLC |
| Other Organization Name | COLUMBIA COMPREHENSIVE CANCER CARE |
| Practice Address |
500 N Keene St Suite 202 Columbia MO 65201-8104 |
| Mailing Address |
500 N Keene St Ste 202 Columbia MO 65201-8104 |
| Practice Telephone | 5734426800 |
| Practice Fax Number | 5734494943 |
| Mailing Telephone | 5734426800 |
| Mailing Fax Number | 5734494943 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | DR. ALI KHOJASTEH (DOCTOR) |
| Authorized Official Telephone | 5734426800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R9764 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201083326 | 05 |
| Other Name | Type Code |
|---|---|
| COLUMBIA COMPREHENSIVE CANCER CARE | Doing Business As Name - Organization |
| Street Address |
500 N KEENE ST SUITE 202 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458943 | Allan James Shapiro | Pediatrics | 500 N Keene St, Ste 207, Columbia, MO 65201-8105 | 2005-06-21 |
| 1396296331 | Mary Bunch | Nurse Practitioner | 500 N Keene St, Columbia, MO 65201 | 2016-10-14 |
| 1568886273 | Columbia Comprehensive Cancer Care Clinic | Internal Medicine | 500 N Keene St, Suite 202, Columbia, MO 65201-8104 | 2014-02-17 |
| 1922448430 | Angel Jaime Enciso | Obstetrics & Gynecology | 500 N Keene St, Suite 400, Columbia, MO 65201-8104 | 2013-06-28 |
| 1710243324 | Denicia Shane Dwarica | Obstetrics & Gynecology | 500 N Keene St, Columbia, MO 65201-8105 | 2012-04-09 |
| 1952672388 | Melissa Ann Liepins Masek | Optometrist | 500 N Keene St, Suite 103, Columbia, MO 65201-8104 | 2012-01-17 |
| 1447547989 | Amy A Zguta Md LLC | Ophthalmology | 500 N Keene St, Suite 101, Columbia, MO 65201-8104 | 2011-07-05 |
| 1932354750 | Julie Ann Starr | Nurse Practitioner | 500 N Keene St, Columbia, MO 65201-8104 | 2008-11-20 |
| 1376700823 | Amy Ajans Zguta | Ophthalmology | 500 N Keene St, Ste 101, Columbia, MO 65201-8104 | 2008-05-21 |
| 1962602672 | Kathy Lynn Timms | Pathology | 500 N Keene St, Suite 200, Columbia, MO 65201-8104 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689135584 | Carmelita Voncille Mcdaniels | Specialist | 108 Columbia Northeast Dr, Columbia, SC 29223-6433 | 2019-03-26 |
| 1245768415 | Jacquelyn Clark | Specialist | 2000 N Beltline Blvd Apt 102e, Columbia, SC 29204-3976 | 2017-05-31 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1942659909 | Brainard Cooper | Specialist | 431 Williams, Columbia, SC 29208-4105 | 2016-06-09 |
| 1487028072 | Columbia Urgent Care, Inc | Specialist | 619 N. Providence Road, Columbia, MO 65203 | 2015-11-19 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1235530296 | Touch and Agree Solutions | Specialist | 10724 Cordage Walk, Columbia, MD 21044-3641 | 2014-09-09 |
| 1033521711 | Charles Crawhorn | Specialist | 989 Portland Rd, Columbia, KY 42728-5283 | 2014-05-29 |
| 1235556028 | Allison Hammond | Specialist | 5500 Knoll North Dr Ste 150, Columbia, MD 21045-2476 | 2014-03-18 |
| 1588908024 | Frederick T Garner, Md, LLC | Specialist | 200 Arbor Lake Dr Ste 120, Columbia, SC 29223-4516 | 2012-11-21 |
| Find all providers in COLUMBIA | ||||
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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.