Assadollah A Mazhari, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4301052399 Issued in MI

Practice address

43650 Garfield Rd
Clinton Township, MI 48038-1120

Phone

(877) 486-7978

Fax

(313) 745-2777

NPI assigned

Dec 27, 2005

Last updated

Oct 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: amazhari63410@direct.hfhs.org

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.

• Neurosurgery Group, P.C.

  • Specialist
  • Clinton TWP, MI
  • NPI 1275814915
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1982681409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "877-486-7978",
            "fax_number": "313-745-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43650 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381120",
            "telephone_number": "877-486-7978",
            "fax_number": "313-745-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHARI",
        "first_name": "ASSADOLLAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301052399",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301052399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891095",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asia Naomi Matthew-Onabanjo, MD, PHD
• William Robert Matthews, M.A., L.P.C.
• Sherry Lynn Mauchline, LMSW
• Rachel May, LLMSW
• Jared Mayfield, MD
• Melinda Mazo
• Jolanta Elzbieta Mazur
• Emily M Mazzetti
• Kathleen Elizabeth McClain, D.O.
• Jamie Marisa McClure

• Neurological Surgery Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.