MARYAM MANDANA ASGARI (NPI# 1962580050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962580050 |
| Entity Type | Individual |
| Full Name | MARYAM MANDANA ASGARI |
| Credential | MD |
| Practice Address |
50 Staniford Street Suite 270 Boston MA 02114 |
| Practice Telephone | 6177261869 |
| Practice Fax Number | 6177267417 |
| Mailing Telephone | 6177261869 |
| Mailing Fax Number | 6177267417 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A82504 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
261458 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A825040 | 05 |
| Street Address |
50 STANIFORD STREET SUITE 270 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194715334 | Shanthala J Shivananjappa | Anesthesiology | 50 Staniford Street, C/o Ma Anesthesia Corp, Boston, MA 02114 | 2005-10-27 |
| 1194068619 | James Michael Stein | Dentist | 50 Staniford Street, 10th Floor, Boston, MA 02114 | 2013-04-03 |
| 1710239728 | Priscilla Taylor Parris | Nurse Practitioner | 50 Staniford Street, Suite 300, Boston, MA 02114-2542 | 2012-10-15 |
| 1649433152 | Gideon Smith | Dermatology | 50 Staniford Street, Mass General Hospital Dermatology, Suite 800, Boston, MA 02114-2621 | 2008-07-03 |
| 1366612186 | Nayri Khokasian | Nurse Anesthetist, Certified Registered | 50 Staniford Street, C/o Ma Anesthesia Corp, Boston, MA 02114 | 2008-03-07 |
| 1083830491 | Lisa Witham | Nurse Anesthetist, Certified Registered | 50 Staniford Street, C/o Ma Anesthesia Corp, Boston, MA 02114 | 2007-04-17 |
| 1619021482 | Judith N Topalian | Nurse Anesthetist, Certified Registered | 50 Staniford Street, C/o Ma Anesthesia Corp., Boston, MA 02114 | 2007-01-22 |
| 1447327796 | Krista M Rubin | Nurse Practitioner | 50 Staniford Street, Mgh Dermatology Associates Suite 200, Boston, MA 02114 | 2006-11-30 |
| 1679642474 | David Matthew Altshuler | Internal Medicine | 50 Staniford Street, 3rd Floor S50340 Diabetes Unit, Boston, MA 02114 | 2006-11-07 |
| 1770665747 | Jennifer J Rochow | Nurse Practitioner | 50 Staniford Street, Ste 300, Boston, MA 02114 | 2006-10-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902329832 | Abeer Alsarheed | Dermatology | 30 Dalton St Apt 1510, Boston, MA 02115-3178 | 2017-07-23 |
| 1811343361 | Neera Nathan | Dermatology | 50 Staniford St Fl 2, Boston, MA 02114-2517 | 2016-05-13 |
| 1619359320 | Freya Meyer | Dermatology | 441 Stuart St Fl 4, Boston, MA 02116-5027 | 2015-06-18 |
| 1952716177 | Anna Kurayev | Dermatology | 260 Tremont Street, Biewend Bld., 14th Floor, Dermatology Department, Boston, MA 02116 | 2014-06-26 |
| 1245640705 | Chao Hui Yang | Dermatology | 221 Longwood Ave Dept Of, Boston, MA 02115-5817 | 2014-05-05 |
| 1508208505 | Yevgeniy Romanovich Semenov | Dermatology | Massachusetts General Hospital - Dept of Dermatology, 55 Fruit Street, Boston, MA 02114 | 2013-07-19 |
| 1821354648 | Tarannum Jaleel | Dermatology | 72 East Concord Street, Evans Suite 124, Boston, MA 02118-2307 | 2012-04-05 |
| 1881915148 | Lisa Yao Shen | Dermatology | 725 Albany St # 8b, Boston, MA 02118-2526 | 2010-06-21 |
| 1356662373 | David Michael Miller | Dermatology | 50 Staniford St Ste 200, Boston, MA 02114-2543 | 2010-06-14 |
| 1376779819 | Yakir Levin | Dermatology | 50 Staniford St Ste 250, Boston, MA 02114-2517 | 2009-06-10 |
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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.