Organization Active NPI

Heidar K. Jahromi, M.D. P.C.

  • Neurology Physician
  • Coatesville, PA
National Provider Identifier
1467625541
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD 017196E Issued in PA
Legal business name
HEIDAR K. JAHROMI, M.D. P.C.
Practice address
213 Reeceville Rd
Suite 22
Coatesville, PA 19320-1528
Phone
(610) 383-1355
Fax
(610) 383-6599
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Heidar K Jahromi, M.D.NPI 1740395334
Title
President
Phone
(610) 383-1355

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MD 017196E PA Primary

Addresses

Primary practice location

213 Reeceville Rd
Suite 22
Coatesville, PA 19320-1528

Mailing address

213 Reeceville Rd
Suite 22
Coatesville, PA 19320-1528
Phone (610) 383-1355

Other identifiers 2

IdentifierTypeStateIssuer
100639OtherPAMEDICARE
0006004890003MedicaidPA

National Provider Directory

National Provider Directory

Locations

213 Reeceville Rd
Ste 22
West Brandywine, PA 19320
Phone (610) 383-1355

Practitioners & affiliated clinicians

Practitioners 1

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1467625541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 REECEVILLE RD",
            "address_2": "SUITE 22",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201528",
            "telephone_number": "610-383-1355",
            "fax_number": "610-383-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 REECEVILLE RD",
            "address_2": "SUITE 22",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201528",
            "telephone_number": "610-383-1355",
            "fax_number": "610-383-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDAR K. JAHROMI, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "JAHROMI",
        "authorized_official_first_name": "HEIDAR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-383-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD 017196E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "100639",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006004890003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.