Ghobad Azizi (NPI# 1134162464, PAC ID# 2163597360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1134162464 |
PAC ID by PECOS | 2163597360 |
Professional Enrollment ID | I20080822000593 |
Full Name | Ghobad Azizi |
Organization Legal Name | WILMINGTON ENDOCRINOLOGY PA |
Address |
1717 Shipyard Blvd Suite 220 Wilmington NC 28403-8019 |
Phone Number | 9102549464 |
Gender | M |
Graduation Year | 1993 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | ENDOCRINOLOGY |
Group Practice PAC ID | 5799850905 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340030 | DUKE UNIVERSITY HOSPITAL |
340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
341327 | J ARTHUR DOSHER MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1717 Shipyard Blvd, Suite 220, Wilmington, NC 28403-8019 | 9102549464 | WILMINGTON ENDOCRINOLOGY PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
ACI_EC_TRANS_HIE_1 | Health Information Exchange | 32% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 92% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 49% | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 97% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 74% | |
MIPS_EC_047_overall | Care Plan | 100% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 95% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 87% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% | |
MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 90% |
Organization Legal Name | WILMINGTON ENDOCRINOLOGY PA |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle L Mayo | Physician Assistant | Wilmington Endocrinology Pa | 1717 Shipyard Blvd, Suite 220, Wilmington, NC 28403-8019 |
Street Address |
1717 SHIPYARD BLVD SUITE 220 |
City | WILMINGTON |
State | NC |
Zip | 28403-8019 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward Joseph Ricciardelli | Plastic and Reconstructive Surgery | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
Lana Oliver Haynes | Physician Assistant | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
Douglas Miller | Physical Therapy | Shoreline Physical Therapy, LLC | 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8019 |
Margene Tranter | Physician Assistant | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
Chelsea Loy | Dermatology | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
Douglas F Messina | Orthopedic Surgery | Carolina Sports Medicine Andorthopaedic Specialists Pa | 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8019 |
Roger S Sica | Dermatology | Summit Cosmetic Surgery Center Pa | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8019 |
Michelle L Mayo | Physician Assistant | Wilmington Endocrinology Pa | 1717 Shipyard Blvd, Suite 220, Wilmington, NC 28403-8019 |
Ellis A Tinsley Jr. | General Surgery | 1717 Shipyard Blvd, Suite 210, Wilmington, NC 28403-8019 | |
David S Fox | Physician Assistant | Carolina Sports Medicine Andorthopaedic Specialists Pa | 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8019 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Maria Tar | Clinical Social Worker | 1410 Commonwealth Dr, Suite 101a, Wilmington, NC 28403-0383 | |
Christopher R Myers | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
Brett A Gurkin | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
Geoffrey D Holland | Physician Assistant | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
Patricia Davis Prichard | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
Katherine Sharon Martin | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
Catherine Marie Dalton | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
Joseph Painter | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
Rasika Khatu Whitesell | Optometry | Myeyedr Optometry of North Carolina Pllc | 3501 Oleander Dr, Suite 7, Wilmington, NC 28403-0824 |
Thomas M Walent Iii | Optometry | The Eye Center Doctors of Optometry Pa | 3500 Oleander Dr, B10, Wilmington, NC 28403-0842 |
Find all physicians in zip 28403 |
City | WILMINGTON |
Zip Code | 28403 |
Specialty | INTERNAL MEDICINE |
City + Specialty | WILMINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ghobad Azizi.
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.