Alaeddin M. Taher, CCP

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

PF0466 Issued in TX

Practice address

622 Mathis MDW
San Antonio, TX 78251-4344

Phone

(210) 882-2128

NPI assigned

Dec 18, 2007

Last updated

Dec 18, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Al Taher Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1124202767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 MATHIS MDW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514344",
            "telephone_number": "210-882-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 MATHIS MDW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514344",
            "telephone_number": "210-882-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHER",
        "first_name": "ALAEDDIN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "CCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "TX",
            "license": "PF0466",
            "primary": true
        },
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AL",
            "last_name": "TAHER",
            "prefix": "MR.",
            "credential": "CCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer A Tafoya, FNP
• Ashley Taft-Parks
• Nancy Bustamante Taft, LPC
• Lisa Taggart
• Monica V Tagle, RNC, MSN, CPNP
• Mohammad R Taheri, MD
• Shaharoz Tahir, IONM
• Taichi Wellness Spa Plus
• Roberta Louise Taillon, NP
• Deepali Tailor, MD

• Perfusionist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Perfusionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.