DECALO MEDICAL GROUP, LLC (NPI# 1285180448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285180448 |
| Entity Type | Organization |
| Organization Name | DECALO MEDICAL GROUP, LLC |
| Practice Address |
6196 Oxon Hill Rd Suite 210 Oxon Hill MD 20745-3100 |
| Practice Telephone | 3015672557 |
| Mailing Telephone | 3015672557 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | JOHN K AZIZ (CEO) |
| Authorized Official Telephone | 3015672557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
6196 OXON HILL RD SUITE 210 |
| City | OXON HILL |
| State | MD |
| Zip Code | 20745-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666531 | James R Benjamin Md Pa | Plastic Surgery | 6196 Oxon Hill Rd, Suite 650, Oxon Hill, MD 20745-3100 | 2005-08-10 |
| 1972168904 | Family and Child Services of Washington, Dc., Inc | Community/Behavioral Health | 6196 Oxon Hill Rd, Oxon Hill, MD 20745-3100 | 2019-05-06 |
| 1124589916 | Lorin Jimenez-rivera | Counselor | 6196 Oxon Hill Rd, Oxon Hill, MD 20745-3100 | 2019-03-26 |
| 1821592247 | Tyler Paige Mabry | Counselor | 6196 Oxon Hill Rd, Oxon Hill, MD 20745-3100 | 2018-03-20 |
| 1780116483 | Kim Smith | Counselor | 6196 Oxon Hill Rd, Ste. 360, Oxon Hill, MD 20745-3100 | 2017-03-31 |
| 1487194577 | Dr. M.e. Williamson D.d.s.,p.c | Dentist | 6196 Oxon Hill Rd, 390, Oxon Hill, MD 20745-3100 | 2017-03-08 |
| 1932642352 | Alanna Hay | Social Worker | 6196 Oxon Hill Rd, Suite 340, Oxon Hill, MD 20745-3100 | 2016-12-03 |
| 1043689201 | Oxon Hill Primary Medicine PC | Family Medicine | 6196 Oxon Hill Rd, Suite 250, Oxon Hill, MD 20745-3100 | 2015-09-17 |
| 1457736555 | Family Matters of Greater Washington | Community/Behavioral Health | 6196 Oxon Hill Rd, Suite 340, Oxon Hill, MD 20745-3100 | 2015-07-30 |
| 1477930758 | National Rehabilitation Hospital, Inc. | Physical Therapist | 6196 Oxon Hill Rd, Suite 450, Oxon Hill, MD 20745-3100 | 2015-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086304 | Envue Eye & Laser Center LLC | Ophthalmology | 251 Harbor Blvd, Oxon Hill, MD 20745 | 2020-06-06 |
| 1902441264 | Dean Hasan | Pharmacist | 6163 Oxon Hill Road, National Harbor, MD 20745 | 2019-11-11 |
| 1093360570 | Ebony D Mckinley | Social Worker | 6188 Oxon Hill Road Suite 500, Oxon Hill, MD 20745 | 2019-08-02 |
| 1134691579 | Lisa Mellynchuk | Occupational Therapist | 1400 Nalley Terrance, Room 16, Landover, MD 20745 | 2018-12-26 |
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1841710746 | Courtnee Carroll | Technician | 5612 Dundalk Dr, Oxon Hill, MD 20745 | 2017-06-21 |
| 1699217679 | Charity Oronos | Physical Therapist | 6981 Oxon Hill Rd, Oxon Hill, MD 20745 | 2016-11-08 |
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1427487644 | Harborside Urgent Care | Clinic/Center | 215 American Way, National Harbor, MD 20745 | 2013-11-07 |
| 1417385840 | Nursing Unlimited Services, Inc | Home Health | 909 East Meadow Ct, Oxon Hill, MD 20745 | 2013-10-22 |
| Find all providers in zip 20745 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367055 | Consuelo Delores Fernandez | Anesthesiology | 6196 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-3137 | 2017-10-22 |
| 1437356748 | John Karim Aziz | Anesthesiology | 5620 St. Barnabas Rd, Suite 300, Oxon Hill, MD 20745 | 2007-06-29 |
| 1790176170 | Potomac View Anesthesia, LLC | Anesthesiology | 6710 Oxon Hill Rd, Suite 150, Oxon Hill, MD 20745-1117 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861986572 | Accessible Integrative Medicine, LLC | Anesthesiology | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2018-06-16 |
| 1760979116 | Advanced Pain Management Specialists, LLC | Anesthesiology | 331 Oak Manor Dr Ste 102, Glen Burnie, MD 21061-5553 | 2018-04-20 |
| 1598217291 | Advanced Pain Management Specialists, LLC | Anesthesiology | 10905 Fort Washington Rd Ste 405, Ft Washington, MD 20744-5807 | 2016-10-28 |
| 1104280957 | Brent Earls | Anesthesiology | 601 N Caroline St # 3062, Baltimore, MD 21287-0006 | 2016-04-07 |
| 1306213186 | Matsunaga Pain Management LLC | Anesthesiology | 8894 Stanford Blvd., Suite 104, Columbia, MD 21045-5161 | 2015-08-27 |
| 1801213863 | Jonathan Sean Woo | Anesthesiology | 22 South Greene Street, Room S11c00, Anestheisology, Baltimore, MD 21201 | 2014-03-27 |
| 1437409844 | Romana Baig | Anesthesiology | 1000 Bestgate Rd, Ste 400, Annapolis, MD 21401-3371 | 2012-09-12 |
| 1730455155 | Kim Vuong Hoang | Anesthesiology | 8455 Colesville Rd Ste 200, Silver Spring, MD 20910 | 2012-03-29 |
| 1295026342 | Anesthesia and Interventional Pain Management Center | Anesthesiology | 12821 Oak Hill Ave Ste 2, Hagerstown, MD 21742-2937 | 2011-04-25 |
| 1073811170 | Divya Swaroop | Anesthesiology | 9561 Joey Dr., Ellicott City, MD 21042 | 2011-03-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DECALO MEDICAL GROUP, LLC.
| 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.