Mohammad-reza Ghazi-moghadam (NPI# 1023183746, PAC ID# 1951482314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1023183746 |
| PAC ID by PECOS | 1951482314 |
| Professional Enrollment ID | I20110902000017 |
| Full Name | Mohammad-reza Ghazi-moghadam |
| Organization Legal Name | ST. MARY'S HEALTHCARE |
| Address |
425 Guy Park Ave Amsterdam NY 12010-1043 |
| Phone Number | 5188431449 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 7618960709 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330047 | ST MARY'S HEALTHCARE |
| 330276 | NATHAN LITTAUER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 425 Guy Park Ave, Amsterdam, NY 12010-1043 | 5188431449 | ST. MARY'S HEALTHCARE |
| Organization Legal Name | ST. MARY'S HEALTHCARE |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Mehling | Nurse Practitioner | St. Mary's Healthcare | 700 S Perry St, Johnstown, NY 12095-3213 |
| Chelsea Centurioni | Physician Assistant | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| James Izzano | Obstetrics/gynecology | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| Athanasios Tournas | Otolaryngology | St. Mary's Healthcare | 380 Guy Park Ave, Amsterdam, NY 12010-1055 |
| Deborah A Sculco | Hematology/oncology | St. Mary's Healthcare | 4988 State Hwy 30, Amsterdam, NY 12010-7520 |
| Brij M Saran | Psychiatry | St. Mary's Healthcare | 57 E Fulton St, Gloversville, NY 12078-3212 |
| Judith N Kelly | Nurse Practitioner | St. Mary's Healthcare | 48 Erie Blvd, Canajoharie, NY 13317-1133 |
| Samuel Dean Detweiler | Family Medicine | St. Mary's Healthcare | 331 Bridge St, Northville, NY 12134-7418 |
| Craig E Todd | Emergency Medicine | St. Mary's Healthcare | 4950 State Hwy 30, Amsterdam, NY 12010-7520 |
| Albert A Fraser | Anesthesiology | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Street Address |
425 GUY PARK AVE |
| City | AMSTERDAM |
| State | NY |
| Zip | 12010-1043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandeep S Mangalmurti | Cardiovascular Disease (cardiology) | Cardiology Associates of Schenectady, P.C. | 425 Guy Park Ave, Suite 202, Amsterdam, NY 12010-1044 |
| Michael J Finnegan | Gastroenterology | St. Mary's Healthcare | 425 Guy Park Ave, Amsterdam, NY 12010-1043 |
| Adam David Snider | Cardiovascular Disease (cardiology) | Cardiology Associates of Schenectady, P.C. | 425 Guy Park Ave, Suite 202, Amsterdam, NY 12010-1044 |
| Gary Sinensky | Gastroenterology | St. Mary's Healthcare | 425 Guy Park Ave, Amsterdam, NY 12010-1043 |
| Patrick Parisi | Cardiovascular Disease (cardiology) | Cardiology Associates of Schenectady, P.C. | 425 Guy Park Ave, Suite 202, Amsterdam, NY 12010-1044 |
| Ranford V Miller | Cardiovascular Disease (cardiology) | Cardiology Associates of Schenectady, P.C. | 425 Guy Park Ave, Suite 202, Amsterdam, NY 12010-1044 |
| Ingrid Rund | Cardiovascular Disease (cardiology) | Cardiology Associates of Schenectady, P.C. | 425 Guy Park Ave, Suite 202, Amsterdam, NY 12010-1044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Izzano | Obstetrics/gynecology | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| Joseph Zaborowski | Podiatry | 442 /2 Guy Park Ave, Amsterdam, NY 12010-1005 | |
| Carwyn Kruler | Certified Nurse Midwife (cnm) | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| Deborah A Basso | Obstetrics/gynecology | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| James M Charland | Obstetrics/gynecology | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| Chelsea Centurioni | Physician Assistant | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Albert A Fraser | Anesthesiology | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Christopher C Ashley | Gastroenterology | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Angelina M Miseno Callaghan | Physician Assistant | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Hussein Assallum | Internal Medicine | Atlantic Professional Services of Rhode Island Incorporated | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Find all physicians in zip 12010 | |||
| City | AMSTERDAM |
| Zip Code | 12010 |
| Specialty | UROLOGY |
| City + Specialty | AMSTERDAM + UROLOGY |
Please comment or provide details below to improve the information on Mohammad-reza Ghazi-moghadam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.