BABAK MIRIN (NPI# 1891776274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891776274 |
Entity Type | Individual |
Full Name | BABAK MIRIN |
Other Name | BABAK MIRIN |
Credential | M.D. |
Practice Address |
4770 Larimer Pkwy # 80534 Johnstown CO 80534-8912 |
Practice Telephone | 7094615061 |
Mailing Telephone | 7094615061 |
Enumeration Date | 2005-11-11 |
Last Update Date | 2020-08-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 2002-0076 | NM | Other Service Providers |
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
20020076 | NM | Allopathic & Osteopathic Physicians |
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
20020076 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 34876855 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1700 N Union Ave, Roswell, NM 88201 | 5752080224 | 5756165626 |
239 Elm St Ne, Albuquerque, NM 871023672 | 5052433378 | 5052424516 |
3500 Comanche Rd Ne, Bldg E Ste 6, Albuquerque, NM 871074546 | 5058818666 | 5053952913 |
405 W Country Club Rd, Roswell, NM 882015209 | 5756228170 |
Street Address |
4770 LARIMER PKWY # 80534 |
City | JOHNSTOWN |
State | CO |
Zip Code | 80534-8912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
Find all providers in zip 80534 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740278258 | Raul Rodriguez-feo | Psychiatry & Neurology | 132 Walnut St, Johnstown, PA 15901-1621 | 2005-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154561025 | Geropsych, PC | Psychiatry & Neurology | 2102 University Park Blvd, Colorado Springs, CO 80918-3678 | 2009-03-04 |
1194713164 | Hope C Beatte | Psychiatry & Neurology | 3600 Havana, Denver Women's Correctional Facility, Denver, CO 80239 | 2005-10-12 |
1316184286 | Cr Dygert & Co | Psychiatry & Neurology | 1550 S Potomac St, Ste 130, Aurora, CO 80012-5455 | 2009-01-14 |
1306081781 | Anthony A Gottlieb | Psychiatry & Neurology | 8931 Huron St, Thornton, CO 80260 | 2008-12-12 |
1467666396 | Jennifer Ann Osborne | Psychiatry & Neurology | 10350 E Dakota Ave, Ste B, Denver, CO 80247-1314 | 2007-05-10 |
1619011327 | Mark B Trubowitz | Psychiatry & Neurology | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-16 |
1841264819 | Robert Neal Rubey | Psychiatry & Neurology | 1055 Clermont St, Denver, CO 80220-3808 | 2006-02-15 |
1851372312 | Healthone Clinic Services LLC | Psychiatry & Neurology | 700 Potomac St, Aurora, CO 80011-6844 | 2005-11-10 |
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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.