Mirhaidari Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-008184 Issued in OH

Legal business name

MIRHAIDARI FAMILY PRACTICE

Practice address

152 N Broadway St Ste 100
New Philadelphia, OH 44663-2665

Phone

(330) 364-8884

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Shady Taggart

Title

Billing

Phone

(330) 364-8884

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morteza Mirhaidari, DPM, MD

  • Foot & Ankle Surgery Podiatrist
  • New Philadelphia, OH
  • NPI 1598775280
  NPD (past)
• Mostafa Mirhaidari, D.O.

  • Family Medicine Physician
  • Uniontown, OH
  • NPI 1003826819
  NPD (past)
• John Michael Milburn II, C.N.P.

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1275975740
  NPD (past)

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1154859924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N BROADWAY ST STE 100",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632665",
            "telephone_number": "330-364-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N BROADWAY ST STE 100",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632665",
            "telephone_number": "330-364-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRHAIDARI FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "TAGGART",
        "authorized_official_first_name": "SHADY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "330-364-8884"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-008184",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRNCNP15213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Miller, RPH
• Julie Ann Miller, CNP
• Megan Grace Miller
• Tausha Lynn Miller
• Stephan Millik, PHARMD
• Morteza Mirhaidari, DPM, MD
• Harry Joseph Mitzo Jr.
• Cindy Lou Mizer
• Kelly Jo Monigold
• Jason Michael Monk

• Family Medicine Physician in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.