Active NPI
Nazafarine Keyvani, PHYSICIAN
- Obstetrics & Gynecology Physician
- Manheim, PA
National Provider Identifier
1871531053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS010743L
- Practice address
- 6 N Penryn Rd
Manheim, PA 17545-9326 - Phone
- (717) 665-4963
- Fax
- (717) 627-0821
- NPI assigned
- Jun 2, 2006
- Last updated
- Feb 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | OS010743L | PA | Primary |
Addresses
Primary practice location
6 N Penryn Rd
Manheim, PA 17545-9326
Mailing address
6 N Penryn Rd
Manheim, PA 17545-9326
Phone (717) 665-4963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001909977 | Medicaid | PA |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS010743L | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Hma Physician Management, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Manheim, PA
- NPI 1417122177
-
- Family Medicine Physician
- Lancaster, PA
- NPI 1932272341
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392595200000",
"number": "1871531053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 N PENRYN RD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175459326",
"telephone_number": "717-665-4963",
"fax_number": "717-627-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 N PENRYN RD",
"city": "MANHEIM",
"state": "PA",
"postal_code": "175459326",
"telephone_number": "717-665-4963",
"fax_number": "717-627-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYVANI",
"first_name": "NAZAFARINE",
"credential": "PHYSICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2014-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "OS010743L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001909977",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manheim, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.