DR. KAMRAN BADIZADEGAN (NPI# 1972585586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972585586 |
| Entity Type | Individual |
| Full Name | DR. KAMRAN BADIZADEGAN |
| Credential | MD |
| Practice Address |
700 Childrens Dr Rmj 0336 Columbus OH 43205-2664 |
| Mailing Address |
Dept 781676 Po Box 78000 Detroit MI 48278-1616 |
| Practice Telephone | 6147225315 |
| Practice Fax Number | 6147223033 |
| Mailing Telephone | 6147225315 |
| Mailing Fax Number | 6147223033 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
35.129581 | OH | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
97007 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
35.129581 | OH | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
S99264 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 766417 | 01 |
| MA | BCBS MA | J17701 | 01 |
| MA | 3165698 | 05 | |
| OH | MEDICARE PTAN | H506762 | 01 |
| Street Address |
700 CHILDRENS DR RMJ 0336 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031487 | Maryam Fouladi | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-05-23 |
| 1891395794 | Lubna Mazin | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-29 |
| 1326648635 | Annie Mae Thompson | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-27 |
| 1710586383 | Kara Monnin | Psychologist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-23 |
| 1669071437 | Benjamin Barth | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-22 |
| 1982202289 | Matthew Dick | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-09 |
| 1972100642 | Weslie Donia | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-06 |
| 1245847631 | Christopher Miskell | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-29 |
| 1659988061 | Lauren Haunani Peck | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-09-29 |
| 1952918914 | Sumeet Minhas | Dentist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
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| Taxonomy Code | 207ZP0213X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Pediatric Pathology |
| A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378600 | Nilsa C Ramirez | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-06-01 |
| 1275500662 | Bonita R Y Fung | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-03-03 |
| 1689658361 | Peter B Baker | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-12-06 |
| 1235113184 | Phyllis Sue Hammond | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-12-05 |
| 1538143706 | Samir Kahwash | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-12-01 |
| 1225012495 | Daniel Boue' | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-12-01 |
| 1588648752 | Joan Durbin | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-12-01 |
| 1730163916 | Kathleen Nicol | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-12-01 |
| 1770567968 | Carl Boesel | Pathology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124482104 | Anas Bernieh | Pathology | 3333 Burnet Ave, Ml 1035, Cincinnati, OH 45229-3026 | 2016-04-06 |
| 1538435144 | Melissa Stalling | Pathology | 1 Perkins Sq, Akron, OH 44308-1063 | 2012-03-28 |
| 1194049692 | Jennifer Lynn Kasten | Pathology | 3333 Burnet Avenue, Ml1035, Cincinnati, OH 45229-3026 | 2010-03-26 |
| 1942432117 | Matthew Paul Keisling | Pathology | 1 Perkins Sq, Akron, OH 44308-1063 | 2009-08-20 |
| 1134362866 | Katherine Anne Vandenheuvel | Pathology | 3333 Burnet Ave, Ml 1035, Cincinnati, OH 45229-3026 | 2009-04-10 |
| 1215197421 | Latha Urs | Pathology | 1320 W Main St, Newark, OH 43055-1822 | 2008-06-11 |
| 1457540270 | Rachel Miceli Sheridan | Pathology | 1 Childrens Plz, Dayton, OH 45404 | 2007-10-17 |
| 1710194865 | Jeffery T Boyd | Pathology | 1 Childrens Plz, Dayton, OH 45404 | 2007-05-17 |
| 1710024062 | Anita Gupta | Pathology | 3333 Burnet Ave, Ml 1035, Cincinnati, OH 45229-3026 | 2007-01-30 |
| 1679637714 | Mark A Steele | Pathology | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-12-21 |
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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.