Mostafa Mirhaidari, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34088184M Issued in OH

Legal business name

MOSTAFA MIRHAIDARI, D.O.

Practice address

707 N Wooster Ave
Dover, OH 44622-2866

Phone

(330) 364-8884

NPI assigned

Nov 5, 2007

Last updated

Feb 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mostafa Mirhaidari, D.O.NPI 1003826819

Title

Owner

Phone

(330) 364-8884

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mostafa Mirhaidari, D.O.

  • Family Medicine Physician
  • Uniontown, OH
  • NPI 1003826819
  NPD (past) Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1538349758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222866",
            "telephone_number": "330-364-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222866",
            "telephone_number": "330-364-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSTAFA MIRHAIDARI, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "MIRHAIDARI",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-364-8884",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34088184M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00282579",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544830",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darla R Moore, CNP
• Elizabeth A. Moore, CNP, MSN
• James David Moore, M.D.
• Samantha Moore, CDCA
• Susan Marie Morris, R.D., L.D., CDE
• Eric Mounts
• Mrs Mobile Radiologic Service LTD
• Mrs Mobile Radiologic Service LTD
• Mahaveer Mukkamalla, MD
• Amy Marie Musay, LPN

• Family Medicine Physician in Dover, OH
• Providers in Dover, 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 Feb 20, 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.