Jamshid Mirzaei MD PC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

49409 Issued in CO

Legal business name

JAMSHID MIRZAEI MD PC

Practice address

501 E Hampden Ave
Englewood, CO 80113-2702

Phone

(702) 453-3799

Fax

(702) 453-5741

NPI assigned

Sep 12, 2013

Organization subpart

No

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

Authorized official

Name

Lori Labrecque

Title

Accts MGR

Phone

(702) 453-3799

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA, CA, AZ3 enrollments

Enrollment records 3

Practitioners 1

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

• Jamshid Mirzaei, MD

  • Hospitalist Physician
  • Globe, AZ
  • NPI 1649306523

  CA, WA

  Medicare reassignment

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1639504335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202378",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802208378",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132702",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015257",
            "country_code": "US",
            "telephone_number": "509-547-7704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMSHID MIRZAEI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACCTS MGR",
        "authorized_official_telephone_number": "702-453-3799"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60036851",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "49409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LICENSE",
            "identifier": "49409",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LICENSE",
            "identifier": "MD60036851",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James R Yon MD PC
• James T. Muffly
• Caroline James
• Jeremy James, SA
• Leigh Polaco James, DPT
• Allison Janedis
• Janette L. S. Javier, M.D. PC
• Beth Ann Jankowski, PA
• Lindsey R Jankowski, PA-C
• Mark Jankowski, D.D.S.

• Hospitalist Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Hospitalist Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.