MRS. CAMELLIA MAZLOOMDOOST (NPI# 1952372419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952372419 |
| Entity Type | Individual |
| Full Name | MRS. CAMELLIA MAZLOOMDOOST |
| Other Name | MRS. CAMELLIA SHIRAZI MAZLOOMDOOST |
| Credential | MD |
| Practice Address |
715 Shaker Dr Ste 101 Pain Management Medicine Lexington KY 40504 |
| Practice Telephone | 8592754878 |
| Practice Fax Number | 8592765400 |
| Mailing Telephone | 8592754878 |
| Mailing Fax Number | 8592765400 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25685 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64256852 | 05 | |
| KY | BLUE CROSS BLUE SHIELD | 000000049975 | 01 |
| Street Address |
715 SHAKER DR STE 101 PAIN MANAGEMENT MEDICINE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124578703 | Pain Management Medicine | Clinic/Center | 715 Shaker Dr, Suite 132, Lexington, KY 40504-3662 | 2016-10-07 |
| 1285911719 | Andrea Omidy | Psychologist | 715 Shaker Dr, Suite 132, Lexington, KY 40504-3662 | 2011-11-11 |
| 1063711018 | Manoochehr Mazloomdoost Psc | Psychiatry & Neurology | 715 Shaker Dr, Suite 132, Lexington, KY 40504-3662 | 2011-03-16 |
| 1114180221 | Jared Christian Nimtz | Plastic Surgery | 715 Shaker Dr, Suite 100, Lexington, KY 40504-3662 | 2008-07-08 |
| 1063680304 | Bluegrass Eyecare Center, Pllc | Optometrist | 715 Shaker Dr, Suite 120, Lexington, KY 40504-3674 | 2008-02-20 |
| 1245412568 | C. Richard Bowers Jr. | Ophthalmology | 715 Shaker Dr, Suite 120, Lexington, KY 40504-3662 | 2007-11-28 |
| 1174741623 | Karen L. Demoss | Psychologist | 715 Shaker Dr, Suite 128, Lexington, KY 40504-3662 | 2007-04-22 |
| 1750414140 | Hamid Hussain Sheikh | Obstetrics & Gynecology | 715 Shaker Dr, Ste 139 Physicians Mall, Lexington, KY 40504 | 2007-03-14 |
| 1205964756 | William L. Dowden, M.d. and David S. Kirn, M.d., Psc | Specialist | 715 Shaker Dr, Suite 100, Lexington, KY 40504-3662 | 2007-02-28 |
| 1093895526 | Kentucky Hand Center Psc | Orthopaedic Surgery | 715 Shaker Dr, Suite #104, Lexington, KY 40504 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003343518 | Daniella Gavito | Psychiatry & Neurology | 245 Fountain Ct # 225, Lexington, KY 40509-1888 | 2017-05-15 |
| 1407393945 | Lexington Psychiatry LLC | Psychiatry & Neurology | 1666 Mass Ave, Floor 2 Suite 3, Lexington, MA 02420-5317 | 2017-01-23 |
| 1639532534 | Chelsea Ann Atwater | Psychiatry & Neurology | 245 Fountain Ct # P225, Lexington, KY 40509 | 2016-03-30 |
| 1093108474 | National Behavioral Health | Psychiatry & Neurology | 3793 Everetts Dl, Lexington, KY 40514-1190 | 2015-03-10 |
| 1285053058 | Tms Center of Lexington, Pllc | Psychiatry & Neurology | 1000 Monarch St Ste 280, Lexington, KY 40513-1494 | 2014-04-09 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1558601823 | Gregory Theodore Kotonias | Psychiatry & Neurology | 401 Katahdin Dr, Lexington, MA 02421-6445 | 2013-02-25 |
| 1831464072 | Gurvinder Singh Arora | Psychiatry & Neurology | 35 Bedford St Ste 8, Lexington, MA 02420-4320 | 2012-03-21 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1386951366 | Beth T. Housman, Md, Pllc | Psychiatry & Neurology | 121 Walton Ave # 125, Lexington, KY 40508-2315 | 2010-09-11 |
| Find all providers in LEXINGTON | ||||
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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.