Individual provider Active NPI

Afshin Tamadon, MD

  • Physical Medicine & Rehabilitation Physician
  • Wilmington, NC
National Provider Identifier
1356391940
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
9800403 Issued in NC
Practice address
1914 Meeting CT
Wilmington, NC 28401-6631
Phone
(910) 362-1112
Fax
(910) 362-1115
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 9800403 NC Primary
Physical Medicine & Rehabilitation Physician 208100000X 27487 SC

Addresses

Primary practice location

1914 Meeting CT
Wilmington, NC 28401-6631

Mailing address

PO Box 7217
Wilmington, NC 28406-7217
Phone (910) 362-1112

Other identifiers 2

IdentifierTypeStateIssuer
274875MedicaidSC
790287FMedicaidNC

Other names 1

  • Dr. Alan Tamadon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000053 NC Practitioner - Physical Medicine and Rehabilitation 1951354760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1914 Meeting CT
Wilmington, NC 28401-6631
Phone (910) 362-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9800403NCMDPhysical Medicine & Rehabilitation Physician
27487SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Medicine Services PC Physical Medicine & Rehabilitation CurrentSince Mar 30, 1999 Accepting new patients

Locations

1914 Meeting Ct
Wilmington, NC 28401
Phone (910) 251-3766

4237 River Hills Dr
Ste 130
Little River, SC 29566
Phone (843) 234-8675

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1356391940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7217",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284067217",
            "telephone_number": "910-362-1112",
            "fax_number": "910-362-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 MEETING CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016631",
            "telephone_number": "910-362-1112",
            "fax_number": "910-362-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMADON",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "9800403",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "27487",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274875",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790287F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "TAMADON",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.