Siamak Shahmohammadi, RPA

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

Practice address

805 Eagleridge Blvd
Suite #50
Pueblo, CO 81008-2193

Phone

(719) 584-7415

Fax

(719) 542-7019

NPI assigned

Mar 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1750522702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EAGLERIDGE BLVD",
            "address_2": "SUITE #50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082193",
            "telephone_number": "719-584-7415",
            "fax_number": "719-542-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EAGLERIDGE BLVD",
            "address_2": "SUITE #50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082193",
            "telephone_number": "719-584-7415",
            "fax_number": "719-542-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHMOHAMMADI",
        "first_name": "SIAMAK",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayde Shaffer
• Aymen Shafqat
• Amil Hitesh Shah
• Harshal Shah, MD
• Nicholas Shahmohammadi
• Shalom Home Care Corporation LLC Dba Shalom Home Care
• Shalom Home Care, LLC
• Arlene Viray Shanklin, MD
• Craig S. Shapiro, M.D.
• Jeffrey A. Shapiro, MD

• Radiology Practitioner Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Radiology Practitioner Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.