FMCA PA (NPI# 1477078053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477078053 |
Entity Type | Organization |
Organization Name | FMCA PA |
Practice Address |
2562 Hidden Cove Rd Annapolis MD 21401-6815 |
Practice Telephone | (540) 529-5472 |
Mailing Telephone | 5405295472 |
Enumeration Date | 2017-08-04 |
Last Update Date | 2020-09-22 |
Authorized Official Name | DR. NAIYER IMAM (OWNER) |
Authorized Official Telephone | 5405295472 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 405300000X | Prevention Professional | Other Service Providers |
Street Address |
2562 HIDDEN COVE RD |
City | ANNAPOLIS |
State | MD |
Zip Code | 21401-6815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053852657 | First Medicine Clinical Associates Inc. | Prevention Professional | 2562 Hidden Cove Rd, Annapolis, MD 21401-6815 | 2017-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
Find all providers in zip 21401 |
Taxonomy Code | 405300000X |
Grouping | Other Service Providers |
Classification | Prevention Professional |
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053852657 | First Medicine Clinical Associates Inc. | Prevention Professional | 2562 Hidden Cove Rd, Annapolis, MD 21401-6815 | 2017-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336769132 | Amani Nicol Inc | Prevention Professional | 111 Old Court Rd Ste 2b, Pikesville, MD 21208-4008 | 2020-04-21 |
1356988471 | Demetrius Albanes | Prevention Professional | 4211 Bradley Ln, Chevy Chase, MD 20815-5234 | 2019-12-09 |
1083118582 | S Valencia Tyrell | Prevention Professional | 920 Capitol Heights Blvd, Suite #b, Capitol Heights, MD 20743 | 2018-03-20 |
1255942033 | Amani Nicol Wellness, LLC | Prevention Professional | 111 Old Court Rd Ste 2b, Pikesville, MD 21208-4008 | 2020-08-13 |
1184159196 | Bluezone Healthcare, LLC | Prevention Professional | 405 N Paca St, Baltimore, MD 21201 | 2017-04-27 |
1740713502 | Veronica Stevens Stevens | Prevention Professional | 3 Bethesda Metro Ctr, Bethesda, MD 20814-5330 | 2017-04-09 |
1871957761 | Kim A Kelly, M.d., P.C. | Prevention Professional | 5875 Allentown Rd, Suitland, MD 20746-4570 | 2016-04-07 |
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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.