MEHRDAD MICHAEL MASSUMI (NPI# 1407894975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407894975 |
| Entity Type | Individual |
| Full Name | MEHRDAD MICHAEL MASSUMI |
| Credential | MD |
| Practice Address |
660 Kenilworth Dr Suite 200 Towson MD 21204-2313 |
| Practice Telephone | 4108255905 |
| Practice Fax Number | 4108257712 |
| Mailing Telephone | 4108255905 |
| Mailing Fax Number | 4108257712 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D32831 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA HMO | 452330 | 01 |
| MD | MAMSI LIFE & HEALTH | 25933 | 01 |
| MD | ONENETPPO | 25933 | 01 |
| MD | KAISER PERMANENTE | 233387 | 01 |
| MD | JOHNS HOPKINS EHP | 25221 | 01 |
| MD | OPTIMUM CHOICE | 25933 | 01 |
| MD | CAREFIRST BCBS | 401629-01 | 01 |
| MD | FIRST HEALTH | 76334 | 01 |
| MD | UNITED HEALTH CARE | 03818011 | 01 |
| MD | AETNA | 4133322 | 01 |
| MD | MDIPA | 25933 | 01 |
| DC | CAREFIRST BLUECHOICE | E658 | 01 |
| Street Address |
660 KENILWORTH DR SUITE 200 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538616313 | Krista Dhruv | Social Worker | 660 Kenilworth Dr, Suite 101, Towson, MD 21204-2313 | 2016-09-08 |
| 1629489117 | Massumi Rehabilitation & Pain Medicine, LLC | Clinic/Center | 660 Kenilworth Dr, Suite 200, Towson, MD 21204-2313 | 2014-05-19 |
| 1801217591 | Maryland Sleep Medicine Specialist, LLC | Internal Medicine | 660 Kenilworth Dr, Suite 203, Towson, MD 21204-2313 | 2013-12-23 |
| 1700213063 | Ian Lawrence Sikora | Physical Therapist | 660 Kenilworth Dr, Suite 102, Towson, MD 21204-2313 | 2013-10-02 |
| 1245571595 | Bryan Paul Fitzgerald | Dentist | 660 Kenilworth Dr, Suite 103, Towson, MD 21204-2313 | 2013-03-12 |
| 1083967947 | Carolyn Barclay Mazikas | Dentist | 660 Kenilworth Dr, #205, Towson, MD 21204-2354 | 2012-10-17 |
| 1962771378 | Sylvan Feldman | Dentist | 660 Kenilworth Dr, Suite # 103, Towson, MD 21204-2313 | 2011-12-14 |
| 1184991929 | Kyong Sik Choe | Dentist | 660 Kenilworth Dr, Suit 103, Towson, MD 21204-2313 | 2011-11-22 |
| 1710206628 | Shulman & Associates, Inc. | Physical Therapist | 660 Kenilworth Dr, Suite 102, Towson, MD 21204-2313 | 2010-05-18 |
| 1295065407 | M. Michael Massumi, M.d., P.a. | Clinic/Center | 660 Kenilworth Dr, Ste 200, Towson, MD 21204-2313 | 2010-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841614 | Roger Theodore | Physical Medicine & Rehabilitation | 1001 Cromwell Bridge Rd, Suite 200, Towson, MD 21286-3300 | 2005-06-15 |
| 1508380627 | Rosen-hoffberg Rehabilitation and Pain Management Associates | Physical Medicine & Rehabilitation | 1001 Cromwell Bridge Rd Ste 200, Towson, MD 21286-3330 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285123869 | Eastside Medical Care | Physical Medicine & Rehabilitation | 732b E Main St, Salisbury, MD 21804-5037 | 2018-05-09 |
| 1225588676 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 7106 Ridge Rd Ste 100, Rosedale, MD 21237-3876 | 2016-10-10 |
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1558757914 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 | 2015-04-13 |
| 1033505391 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6475 New Hampshire Ave Ste 620, Hyattsville, MD 20783-3280 | 2015-04-13 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 1225459936 | Pain and Wellness Center of Maryland, LLC | Physical Medicine & Rehabilitation | 601 Post Office Rd Ste 2a, Waldorf, MD 20602 | 2013-12-23 |
| 1922429935 | Health Management and Rehabilitation LLC | Physical Medicine & Rehabilitation | 13907 Willow Tree Dr, Rockville, MD 20850-5434 | 2013-12-17 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| 1871868539 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 174 Waterfront St, Suite 320, National Harbor, MD 20745 | 2012-03-14 |
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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.