CYRUS HAMIDI, M.D., P.A. (NPI# 1184813503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184813503 |
Entity Type | Organization |
Organization Name | CYRUS HAMIDI, M.D., P.A. |
Practice Address |
913 Ridgebrook Rd Suite 312 Sparks MD 21152-9455 |
Practice Telephone | 4104726560 |
Mailing Telephone | 4104726560 |
Enumeration Date | 2007-10-22 |
Last Update Date | 2008-03-24 |
Authorized Official Name | DR. CYRUS HAMIDI (MANAGING PHYSICIAN) |
Authorized Official Telephone | 4104726560 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | INDIVIDUAL MEDICARE PIN | 377R | 01 |
MD | INDIVIDUAL NPI | 1134102775 | 01 |
Street Address |
913 RIDGEBROOK RD SUITE 312 |
City | SPARKS |
State | MD |
Zip Code | 21152-9455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134102775 | Cyrus Hamidi | Family Medicine | 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9451 | 2005-11-29 |
1134545841 | Lifebridge Community Physicians, Inc | Family Medicine | 913 Ridgebrook Rd, Sparks, MD 21152-9455 | 2014-03-06 |
1356463558 | Narlis Dental Pa | Clinic/Center | 913 Ridgebrook Rd, Suite 206, Sparks, MD 21152-9455 | 2007-04-06 |
1104946391 | Anthony Narlis | Dentist | 913 Ridgebrook Rd, Suite 206, Sparks, MD 21152-9455 | 2007-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942554837 | Tridentusa Mobile Clinical Services, LLC | Nurse Practitioner | 930 Ridgebrook Rd Fl 3, Sparks, MD 21152 | 2012-10-31 |
1528321635 | Caitlin Lee Sprouse | Occupational Therapist | 14550a York Road, Sparks, MD 21152 | 2012-06-22 |
1184954679 | Suzanne Heid Geisbert | Behavioral Analyst | 14550 York Rd, Sparks, MD 21152 | 2010-01-05 |
1790850519 | Joan Li Wang | Obstetrics & Gynecology | 913 Ridgebrook Road, Suite 314, Sparks, MD 21152 | 2006-11-21 |
1346331410 | Rosemaria K Kariampuzha | Pharmacist | 112 Hunt Creek Lane, Sparks, MD 21152 | 2006-09-27 |
1982649810 | Matthew Joseph Lepito | Chiropractor | 10 Fila Way, Suite 208, Sparks, MD 21152 | 2006-06-17 |
1467415984 | Bionicare Medical Technologies Inc | Durable Medical Equipment & Medical Supplies | 53 Loveton Circle, Sparks, MD 21152 | 2006-04-07 |
1093797839 | Aubrey Richardson | Psychiatry & Neurology | 164 English Run Cir, Sparks, MD 21152 | 2005-11-17 |
1184110710 | Alexis Crystal Cruz | Behavior Technician | 14550 York Rd, Sparks, MD 21152 | 2018-07-06 |
1346670619 | Alicia C. Kilpatrick | Physician Assistant | 10 Fila Way, Suite 205, Sparks, MD 21152 | 2013-11-22 |
Find all providers in zip 21152 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.