Organization Active NPI

Zarrinmakan Mehrdad MD Inc

  • Surgery Physician
  • Warren, OH
National Provider Identifier
1407067150
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ZARRINMAKAN MEHRDAD MD INC
Practice address
8952 E Market St
Warren, OH 44484-2352
Phone
(330) 856-4366
Fax
(330) 856-9656
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Mehrdad Zarrinmakan, MDNPI 1043208309
Title
President
Phone
(330) 856-4366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8952 E Market St
Warren, OH 44484-2352

Mailing address

8952 E Market St
Warren, OH 44484-2352
Phone (330) 856-4366

Other identifiers 1

IdentifierTypeStateIssuer
3010833MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221000793 OH Part B Supplier - Clinic/Group Practice 2163444837 Receives reassigned benefits from 2 practitioners
Practice locations: Canfield, OH; Warren, OH

National Provider Directory

National Provider Directory

Locations

8790 E Market St
Ste 200
Warren, OH 44484
Phone (216) 856-9656

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1407067150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842352",
            "telephone_number": "330-856-4366",
            "fax_number": "330-856-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842352",
            "telephone_number": "330-856-4366",
            "fax_number": "330-856-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZARRINMAKAN MEHRDAD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "ZARRINMAKAN",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-856-4366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3010833",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.