Active NPI
Gholam Jabbari, M.D.
- Obstetrics & Gynecology Physician
- Muscatine, IA
National Provider Identifier
1801867957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22437
- Practice address
- 2104 Cedarwood Dr
Ste 200
Muscatine, IA 52761-2659 - Phone
- (563) 263-4848
- Fax
- (563) 263-3332
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22437 | IA | Primary |
Addresses
Primary practice location
2104 Cedarwood Dr
Ste 200
Muscatine, IA 52761-2659
Mailing address
2104 Cedarwood Dr
Ste 200
Muscatine, IA 52761-2659
Phone (563) 263-4848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3182618 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22437 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1801867957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 CEDARWOOD DR",
"address_2": "STE 200",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527612659",
"telephone_number": "563-263-4848",
"fax_number": "563-263-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 CEDARWOOD DR",
"address_2": "STE 200",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527612659",
"telephone_number": "563-263-4848",
"fax_number": "563-263-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABBARI",
"first_name": "GHOLAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "22437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3182618",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.