Seyed Mirfendereski, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35072710M Issued in OH

Legal business name

SEYED MIRFENDERESKI, MD, LLC

Practice address

6681 Ridge Rd
407
Parma, OH 44129-5713

Phone

(440) 743-2250

Fax

(440) 834-1902

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mirela Rossi, MD

Title

Owner

Phone

(440) 743-2250

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1780777219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 545",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "44022",
            "telephone_number": "440-743-2250",
            "fax_number": "440-834-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "407",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-743-2250",
            "fax_number": "440-834-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYED MIRFENDERESKI, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "MIRELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-743-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072710M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2446651",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette Helen Selzer, OTR/L
• Clarence K. Semple, P.A.-C.
• Deborah Marie Semple, PT
• Janet A. Settnek, MS CCC-SLP
• Megan Sevilla, P.A.
• Fariha Shad, M.D
• Asya Shadeed-Bey
• Jaclyn Shaffer
• Barbara A. Shagawat, M.D.
• Bruce Shagovac, LCDC III # 051027

• Internal Medicine Physician in Parma, OH
• Providers in Parma, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.