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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | MEDICARE PIN | 902M | 01 |
Street Address |
5500 KNOLL NORTH DR |
City | COLUMBIA |
State | MD |
Zip Code | 21045-2370 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 21045 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
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. |
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 |
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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.