BABAK MIRIN


Address: 4770 Larimer Pkwy # 80534, Johnstown, CO 80534-8912
Phone: 7094615061

BABAK MIRIN (NPI# 1891776274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NM 34876855 05

Provider Secondary Practice Location

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

Office Location

Street Address 4770 LARIMER PKWY # 80534
City JOHNSTOWN
State CO
Zip Code 80534-8912

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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 Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740278258 Raul Rodriguez-feo Psychiatry & Neurology 132 Walnut St, Johnstown, PA 15901-1621 2005-10-10

Providers in the same taxonomy and state

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

Competitor

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City JOHNSTOWN
Zip Code 80534

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Dataset Information

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.

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