ALIREZA HAZRATI


Address: 74 Thomas Johnson Dr, Frederick, MD 21702-4501
Phone: 3016949033

ALIREZA HAZRATI (NPI# 1942692587) 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) 1942692587
Entity Type Individual
Full Name ALIREZA HAZRATI
Credential CRFNP-BC
Practice Address 74 Thomas Johnson Dr
Frederick
MD 21702-4501
Practice Telephone 3016949033
Practice Fax Number 3016946204
Mailing Telephone 3016949033
Mailing Fax Number 3016946204
Enumeration Date 2015-02-18
Last Update Date 2019-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN0000180274 TN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AC001852 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE P02079605 01
CAREFIRST 1459-0013 01
UNITED HEALTHCARE 6734677 01
MD 794014900 05
JOHNS HOPKINS HEALTHCARE 342524 01
AETNA 6445113 01
MEDICARE 652580 01
CIGNA 5508603 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3738 Queen Anne Loop Apt 304, Fayetteville, NC 283067133 4235571891

Office Location

Street Address 74 THOMAS JOHNSON DR
City FREDERICK
State MD
Zip Code 21702-4501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477522472 Kelly Ann Shine Surgery 74 Thomas Johnson Dr, Frederick, MD 21702-4300 2006-03-14
1912495938 Laura Anne Trumpower Nurse Practitioner 74 Thomas Johnson Dr, Frederick, MD 21702-4501 2018-04-25
1679778658 Samir Kumar Ahuja Internal Medicine 74 Thomas Johnson Dr, Frederick, MD 21702 2007-06-19
1801812987 Sherman Kahan, Md, Pa Internal Medicine 74 Thomas Johnson Dr, Frederick, MD 21702-4501 2006-07-14
1295767796 Paresh K Visana Physician Assistant 74 Thomas Johnson Dr, Frederick, MD 21702-4501 2006-07-06
1003885013 Max Eugene Wingerd Surgery 74 Thomas Johnson Dr, Frederick, MD 21702-4300 2006-03-14
1346219318 Manuel Antonio Casiano Surgery 74 Thomas Johnson Dr, Frederick, MD 21702-4300 2006-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1912416272 Morgan Nicely Behavior Technician 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 2017-09-29
1154840494 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 2017-09-19
1831617471 Hazel Elizabeth Gill Physical Therapy Assistant 2007 Butterfield Overlook, Frederick, MD 21702 2017-09-05
1831610161 William Haynes Nurse Practitioner 103 Water Land Ct., Frederick, MD 21702 2017-06-27
1497299333 Timothy Stimach Pharmacist 1430b W Patrick St, Frederick, MD 21702 2016-12-12
1184167405 Maryland Nutrition and Diet Services, L.L.C. Dietitian, Registered 1301 W. 7th Street, No. 1607, Frederick, MD 21702 2016-11-18
1649649468 Oluwakemi Olubunmi Osidele Nurse Practitioner 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 2015-09-22
1841678562 Ventzislava Hristova Spec/Tech, Pathology 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 2015-05-14
1023404571 Mychal Lynn Pilia Advanced Practice Midwife 7420 Hayward Road, Suite 104, Frederick, MD 21702 2015-04-11
Find all providers in zip 21702

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1356957252 True Vitality Consulting Dba Peridot Health Nurse Practitioner 5255 Buckeystown Pike, Frederick, MD 21704-7535 2020-09-17
1285288282 Augusto Paredes Ubillus Nurse Practitioner 110 Baughmans Ln Ste 140, Frederick, MD 21702-4649 2019-07-29
1912561408 Christine Noyan-lue Nurse Practitioner 9516 Bridgewater Ct E, Frederick, MD 21701-7619 2019-04-30
1720642986 Ashley Marie Fox Nurse Practitioner 1305 W 7th St Ste 28, Frederick, MD 21702-4100 2019-04-23
1265997845 Karen Gregory Nurse Practitioner 9330 Bishopgate Dr, Frederick, MD 21704-7356 2019-02-07
1447735352 Ezcare Clinic LLC Nurse Practitioner 1519 W Patrick St Ste A1, Frederick, MD 21702-3763 2018-09-26
1801378435 Saving Lives Center LLC Nurse Practitioner 3 Hillcrest Dr Ste A101, Frederick, MD 21703-6105 2018-08-30
1235655903 Laura Jane Kannaian Nurse Practitioner 176 Thomas Johnson Dr Ste 104, Frederick, MD 21702-4499 2017-08-15
1265961312 Rebecca M Barker Nurse Practitioner 182 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4486 2017-06-11
Find all providers in FREDERICK

Competitor

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City FREDERICK
Zip Code 21702

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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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