Manoochehr Mazloomdoost PSC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MANOOCHEHR MAZLOOMDOOST PSC

Doing business as

Pain Management Medicine

Practice address

715 Shaker Dr
Suite 132
Lexington, KY 40504-3662

Phone

(859) 275-4878

Fax

(859) 276-5400

NPI assigned

Mar 16, 2011

Last updated

Mar 16, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Danesh Mazloomdoost, M.D.NPI 1851447072

Title

President

Phone

(859) 275-4878

Specialties & licenses 2

Addresses

Other names 1

• Pain Management Medicine Doing business as

Tax ID family

Pain Management Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Manoochehr Mazloomdoost P S C

  dba Wellward

  • Pain Medicine (Anesthesiology) Physician
  • Corbin, KY
  • NPI 1720110182
  NPD tax ID
• Pain Management Medicine

  • Pain Clinic/Center
  • Lexington, KY
  • NPI 1124578703
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danesh Mazloomdoost, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lexington, KY
  • NPI 1851447072
  NPD (past) Authorized official
• Mary Charlene Norman, L.C.S.W.

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1669422390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1063711018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SHAKER DR",
            "address_2": "SUITE 132",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043662",
            "telephone_number": "859-275-4878",
            "fax_number": "859-276-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SHAKER DR",
            "address_2": "SUITE 132",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043662",
            "telephone_number": "859-275-4878",
            "fax_number": "859-276-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOOCHEHR MAZLOOMDOOST PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "MAZLOOMDOOST",
        "authorized_official_first_name": "DANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-275-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thad Manning, DO
• William D Manning, PA
• David Michael Mannino III, MD
• Nancy Humphrey Mannon, RPH
• Manoj Kohli, PSC
• Manoochehr Mazloomdoost PSC (Wellward Regenerative Medicine)
• Joanna Louise Manring
• Daven Richelle Mansfield
• Armaghan-E-Rehman Mansoor, MD
• Erin Olivia Manuel, APRN

• Pain Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pain Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.