Individual provider Active NPI

Fariborz Khorsand-Ravan, MD

  • Obstetrics & Gynecology Physician
  • Taunton, MA
National Provider Identifier
1922039478
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD9948 Issued in RI
Practice address
88 Washington St
C/O Morton Hospital
Taunton, MA 02780-2465
Phone
(508) 824-1280
Fax
(508) 824-7293
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD9948 RI Primary
Obstetrics & Gynecology Physician 207V00000X 75558 MA

Addresses

Primary practice location

88 Washington St
C/O Morton Hospital
Taunton, MA 02780-2465

Mailing address

88 Washington St
C/O Morton Hospital
Taunton, MA 02780-2465
Phone (508) 824-1280

Other identifiers 1

IdentifierTypeStateIssuer
7008253MedicaidRI

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

LicenseStateTypeSpecialty
75558MAMDObstetrics & Gynecology Physician
MD9948RIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Physician Associates Inc Obstetrics & Gynecology Past Accepting new patients
Smgri, PC Obstetrics & Gynecology Past Accepting new patients
Morton Physician Associates, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1922039478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 WASHINGTON ST",
            "address_2": "C/O MORTON HOSPITAL",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802465",
            "telephone_number": "508-824-1280",
            "fax_number": "508-824-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 WASHINGTON ST",
            "address_2": "C/O MORTON HOSPITAL",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802465",
            "telephone_number": "508-824-1280",
            "fax_number": "508-824-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSAND-RAVAN",
        "first_name": "FARIBORZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD9948",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "75558",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008253",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.