Individual provider Active NPI

Nazafarine Keyvani, PHYSICIAN

  • Obstetrics & Gynecology Physician
  • Manheim, PA
National Provider Identifier
1871531053
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS010743L Issued in PA
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001909977MedicaidPA

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

LicenseStateTypeSpecialty
OS010743LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.