M.D. Bijan Bastaninejad, NPI 1972589968
Pediatrics Physician in Poplar Bluff, MO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1972589968
NPI Entity Type Individual
Provider Name M.D. Bijan Bastaninejad
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2620 N Westwood Blvd, Poplar Bluff, MO, US
Provider Mailing Address 2620 N Westwood Blvd, Poplar Bluff, MO, US, 639013396
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208000000X

Taxonomy Name Pediatrics Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License No. 2009039681
License State MO
Description A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

M.D. Bijan Bastaninejad
2620 N Westwood Blvd

Poplar Bluff, MO, US

Phone: 573-785-7721
Fax: 573-727-2465

Mailing Address

M.D. Bijan Bastaninejad
2620 N Westwood Blvd
Poplar Bluff, MO, US
ZIP 639013396
Phone: 573-785-7721
Fax: 573-727-2465

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207P00000X

Allopathic & Osteopathic Physicians

Emergency Medicine

237324 NY No

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

35.088489 OH No

208M00000X

Allopathic & Osteopathic Physicians

Hospitalist

35.088489 OH No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
05227 OH PARAMOUNT 01
2678446 OH MEDICAID 05
7210867 OH AETNA 01
5202199 MI MEDICAID 05
4920459 MI MEDICAID 05
40113 MI HPM 01
000000520832 OH ANTHEM 01
02695054 NY MEDICAID 05
000000488786 OH ANTHEM 01
237324 NY BLUECROSS BLUESHIELD 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] Direct Address No 3100 Oak Grove Rd, Poplar Bluff, MO, US

Other Providers in MO, US

NPI Name Taxonomy Address

1679982664

RN, NNP-BC Rachel Renelle Neier

Individual

Neonatal Nurse Practitioner

100 Mercy Way

Joplin, MO

1497477400

APRN Sylvia Lynn Arney

Individual

Pediatric Nurse Practitioner

2401 Gillham Rd

Kansas City, MO

1851016224

Families First Transportation, Llc

Organization

Home Health Agency

10850 W Florissant Ave

Saint Louis, MO

1003351404

Erin Alfonso

Individual

Assistant Behavior Analyst

1209 E Walnut St

Columbia, MO

1184349540

Integrity Home Care, Llc

Organization

Community Based Hospice Care Agency

1350 S Jefferson Ave Ste C

Lebanon, MO

1730804196

Integrity Home Care, Llc

Organization

Community Based Hospice Care Agency

4830 E 32nd St Ste 1

Joplin, MO

1801805791

M.D. Eric Jaques Carbonell

Individual

Psychiatry Physician

110 N Mill St

Festus, MO

1750037735

LCSW Macey Laplant

Individual

Social Worker

1403 E Marshall St

Charleston, MO

1730707068

NNP-BC Alyssa Patterson

Individual

Neonatal Nurse Practitioner

1 Childrens Pl

Saint Louis, MO

1538884986

PLPC Christopher M Mattix

Individual

Case Manager/Care Coordinator

17844 E 23rd St S

Independence, MO

1588389928

DR. PHD Emma Welch

Individual

Psychologist

26515 State Highway 39

Shell Knob, MO

1609591049

John White

Individual

Attendant Care Provider

1411 E Gano Ave

Saint Louis, MO

1487718854

Catholic Comprehensive Services For Children, Child Center-marygrove

Organization

Emotionally Disturbed Childrens' Residential Treatment Facility

2705 Mullanphy Ln

Florissant, MO

1538884978

NP Sarah Enyard

Individual

Family Nurse Practitioner

1600 E Broadway

Columbia, MO

1174248504

Elizabeth Kathleen Smith

Individual

Professional Counselor

829 W Atlantic St

Springfield, MO

1073514600

Odyssey Healthcare Of Kansas City Llc

Organization

Community Based Hospice Care Agency

20101 E Jackson Dr

Independence, MO

1023748134

PT, DPT Klaire Hart Phillips

Individual

Physical Therapist

10801 E State Route 350

Raytown, MO

1316662745

Kristina Daugherty

Individual

Case Manager/Care Coordinator

21 Municipal Dr

Arnold, MO

1245619154

DR. MD Douglas James Cassidy

Individual

Surgery Physician

1 Barnes Jewish Hospital Plz

Div Surg Mis

Saint Louis, MO

1427773852

FNP-C Kyle Douglas Gronberg

Individual

Nurse Practitioner

3801 S National Ave Ste 900

Springfield, MO

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