NAVID POURTAHERI (NPI# 1942543681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942543681 |
| Entity Type | Individual |
| Full Name | NAVID POURTAHERI |
| Credential | M.D., PH.D |
| Practice Address |
705 Riley Hospital Dr Ste 3538 Indianapolis IN 46202-5109 |
| Mailing Address |
545 Barnhill Dr Ste 232 Indianapolis IN 46202-5112 |
| Practice Telephone | 3179480345 |
| Practice Fax Number | 3179681372 |
| Mailing Telephone | 3179443636 |
| Mailing Fax Number | 3179681371 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 01083848A | IN | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
01083848A | IN | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
1.062965 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 545 Barnhill Dr Ste 232, Indianapolis, IN 462025112 | 3179443636 | 3179681371 |
| Street Address |
705 RILEY HOSPITAL DR STE 3538 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215476981 | Nabil Elsahy | Plastic Surgery | 11680 Bluefin Ct, Indianapolis, IN 46236-8500 | 2017-02-14 |
| 1841432374 | David S. Slatton Md, PC | Plastic Surgery | 9302 N. Meridian Street, Suite 220, Indianapolis, IN 46260 | 2009-03-30 |
| 1457573917 | Jessica Nguyen Gillespie | Plastic Surgery | 8051 South Emerson Avenue, Suite 450, Indianapolis, IN 46237 | 2007-05-03 |
| 1578646584 | Mary Elizabeth Lester | Plastic Surgery | 545 Barnhill Dr # Eh232, Indianapolis, IN 46202-5112 | 2006-10-23 |
| 1215020201 | Andrew Jay Mandery | Plastic Surgery | 8402 Harcourt Rd Ste 120, Indianapolis, IN 46260-2006 | 2006-10-02 |
| 1134179229 | Gayle M. Gordillo | Plastic Surgery | 545 Barnhill Dr # 232, Indianapolis, IN 46202 | 2006-05-11 |
| 1538117585 | Howard Dash | Plastic Surgery | 1400 N Ritter Ave Ste 120, Indianapolis, IN 46219-3045 | 2006-05-04 |
| 1124096433 | Amelita G. Del Mundo | Plastic Surgery | 6845 Antelope Dr, Indianapolis, IN 46278-1891 | 2006-03-10 |
| 1235627282 | Adam C. Cohen Plastic Surgery, LLC | Plastic Surgery | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2018-04-25 |
| 1205237013 | David S Slatton | Plastic Surgery | 9302 N. Meridian Street, Suite 220, Indianapolis, IN 46260 | 2014-09-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on NAVID POURTAHERI.
| 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.