NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES, LLC


Address: 5500 Knoll North Dr, Columbia, MD 21045-2370
Phone: 4107440661

NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES, LLC (NPI# 1386209302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386209302
Entity Type Organization
Organization Name NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES, LLC
Practice Address 5500 Knoll North Dr
Columbia
MD 21045-2370
Mailing Address 700 Geipe Rd Ste 200
Catonsville
MD 21228-4176
Practice Telephone 4107440661
Practice Fax Number 4107448036
Mailing Telephone 4107440661
Mailing Fax Number 4107448036
Enumeration Date 2019-05-06
Last Update Date 2020-03-04
Authorized Official Name SAMANTHA MIHM (CREDENTIALING SPECIALIST)
Authorized Official Telephone 4107440661
Is Organization Subpart Y
Parent Organization Name NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD MEDICARE PIN 902M 01

Office Location

Street Address 5500 KNOLL NORTH DR
City COLUMBIA
State MD
Zip Code 21045-2370

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487650891 Shanita Chase Family Medicine 5500 Knoll North Dr, Suite 370, Columbia, MD 21045-2209 2005-06-22
1023621174 Wendy Strong Nurse Practitioner 5500 Knoll North Dr, Columbia, MD 21045-2370 2020-08-28
1255807228 Amber Bokhari Student in an Organized Health Care Education/Training Program 5500 Knoll North Dr, Columbia, MD 21045-2370 2018-10-17
1164971644 Lauren Heather Saks Social Worker 5500 Knoll North Dr, Suite 370, Columbia, MD 21045-2370 2016-09-26
1033560438 Lisa M Alley Specialist/Technologist 5500 Knoll North Dr, Columbia, MD 21045-2370 2016-06-27
1245684547 One World Healthcare LLC Internal Medicine 5500 Knoll North Dr, Suite 220, Columbia, MD 21045-2370 2016-04-22
1598127391 Glen Burnie Physical Therapy & Sportscare, LLC Occupational Therapist 5500 Knoll North Dr, Ste 150, Columbia, MD 21045 2016-03-22
1700245552 Maria Loreto Miranda Bravo Counselor 5500 Knoll North Dr, 370, Columbia, MD 21045-2370 2016-02-22
1457717480 Kimberly Mcgeady Audiologist 5500 Knoll North Dr, Suite 320, Columbia, MD 21045-2370 2016-01-06
1063886612 Balum Imaging LLC Clinic/Center 5500 Knoll North Dr, Suite 190, Columbia, MD 21045-2370 2015-11-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497374136 Keenan Eldridge Behavior Technician 8950 Md-108, Suite 100, Columbia, MD 21045 2020-04-13
1730724220 Luci Lee Redman Cassella Family Medicine 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 2019-11-08
1417519414 Howard County Health Department Clinic/Center Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 2019-07-01
1649754490 Dana Pirzchalski Behavioral Analyst 8815 Columbia Parkwary, 4, Columbia, MD 21045 2018-09-18
1871089177 Melissa Jo Kennedy Behavior Technician 8815 Columbia Parkway, 4, Columbia, MD 21045 2018-07-10
1497246193 Kjd Physical Therapist 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 2018-05-29
1174010276 Roger Lee Audiologist 8600 Snowden River Pkwy #309, Columbia, MD 21045 2018-04-16
1811497910 Dominique Nichole Hale Behavior Technician 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 2018-02-15
1982116802 Bradley D. Stiles Acupuncturist 6257 Deep River Cyn, Columbia, MD 21045 2017-11-01
1194234849 University of Maryland Eye Associates, P.a. Eyewear Supplier (Equipment, not the service) 5900 Waterloo Road, Suite 230, Columbia, MD 21045 2017-09-26
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932209343 William L Washington Internal Medicine 3615 Augusta Dr, Columbia, MO 65203-0990 2006-09-25
1639107097 Marlyn Lorenzo Internal Medicine 6350 Stevens Forest Rd Ste 101, Columbia, MD 21046 2006-06-28
1669416046 Anthony T Tay Internal Medicine 3610 Buttonwood Dr, Suite 200, Columbia, MO 65201-3721 2006-06-15
1215986187 Darcy D Folzenlogen Internal Medicine 1101 Hospital Drive, Columbia, MO 65212-0001 2006-05-09
1013904838 Ronald L Collins Internal Medicine 1711 Saint Julian Pl, Columbia, SC 29204-2409 2005-10-06
1568467546 Paula Jean Mcmurtry Internal Medicine 1705 E Broadway, Suite 220, Columbia, MO 65201 2005-06-16
1861981508 Palmetto Health - University of South Carolina Medical Group Internal Medicine 2 Medical Park Rd Ste 501, Columbia, SC 29203-6839 2018-05-08
1134665094 Articularis Healthcare Group Inc. Internal Medicine 1711 Saint Julian Pl, Columbia, SC 29204-2409 2017-01-16
1114377207 Daniel Grant Internal Medicine 1 Hospital Dr, Dc043.00, Columbia, MO 65212-1000 2016-06-20
1063892008 Matthew Walter Jaenicke Internal Medicine 1711 Saint Julian Pl, Columbia, SC 29204-2409 2015-06-04
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 21045

Improve Information

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Dataset Information

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.

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