DR. ALI I. KHAWAJA (NPI# 1689899361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689899361 |
| Entity Type | Individual |
| Full Name | DR. ALI I. KHAWAJA |
| Credential | M.D. |
| Practice Address |
17 Western Maryland Pkwy Suite 100 Hagerstown MD 21740-5471 |
| Mailing Address |
17 Western Maryland Parkway Suite 100 Hagerstown MD 21740-5471 |
| Practice Telephone | 3017976389 |
| Practice Fax Number | 3017974119 |
| Mailing Telephone | 3017976389 |
| Mailing Fax Number | 3017974119 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | D0068680 | MD | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 243822 | NY | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D0068680 | MD | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD431486 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA PA HMO | 6913012 | 01 |
| MD | AETNA-MD NONHMO | 9396180 | 01 |
| PA | HIGHMARK BLUE SHIELD PA LOCATION | 1974224 | 01 |
| MD | BLUE SHIELD PPN | 94954101 | 01 |
| MD | 417103900 | 05 | |
| MD | AETNA-MD HMO | 6838916 | 01 |
| MD | BLUE SHIELD REGIONAL | W2660021 | 01 |
| PA | HIGHMARK BLUE SHIELD MD LOCATION | 2092614 | 01 |
| PA | AETNA-PA NONHMO | 9396180 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629450531 | Ali Khawaja | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2015-06-26 |
| Street Address |
17 WESTERN MARYLAND PKWY SUITE 100 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601068 | Stuart Jack Goodman | Psychiatry & Neurology | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2005-07-05 |
| 1982256111 | Tia Marie Finzel | Physician Assistant | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5471 | 2019-07-09 |
| 1174074116 | Kristen Kivlen | Physician Assistant | 17 Western Maryland Pkwy, Suite 102, Hagerstown, MD 21740-5471 | 2016-10-14 |
| 1134519606 | Stephanie Hamrick | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-02-04 |
| 1316336449 | Collina Afriyie | Physician Assistant | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2015-01-13 |
| 1801225057 | John Christopher De Luna | Physical Therapist | 17 Western Maryland Pkwy, Hagerstown, MD 21740-5471 | 2013-11-08 |
| 1144453879 | Andrea N Stone | Physical Therapist | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2009-08-28 |
| 1366690281 | Parkway Neuroscience and Spine Institute, LLC | Physical Therapist | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-09-04 |
| 1356512792 | Grace Mooney | Neurological Surgery | 17 Western Maryland Pkwy, Suite 100, Hagerstown, MD 21740-5471 | 2008-03-13 |
| 1073710158 | Aaron Robert Probst | Physician Assistant | 17 Western Maryland Pkwy, Ste 100, Hagerstown, MD 21740-5146 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| 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 |
|---|---|---|---|---|
| 1093096778 | Rehan Waheed | Physical Medicine & Rehabilitation | 17 Western Maryland Parkway, Suite 100, Hagerstown, MD 21740 | 2011-09-08 |
| 1952480303 | Wendy Marie Hall | Physical Medicine & Rehabilitation | 322 E Antietam St, Suite 104, Hagerstown, MD 21740-5794 | 2006-11-06 |
| 1619924586 | Ehab M Shalaby | Physical Medicine & Rehabilitation | 324 E Antietam St, Suite #306a, Hagerstown, MD 21740-5754 | 2006-05-27 |
| 1588624498 | Ramakrishna R Kosuri | Physical Medicine & Rehabilitation | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2006-03-24 |
| 1124091582 | Ngozi Juliet Efobi | Physical Medicine & Rehabilitation | 1150 Professional Ct, Suite B, Hagerstown, MD 21740-5852 | 2006-02-08 |
| 1245224401 | Mark Joseph Yacyk | Physical Medicine & Rehabilitation | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2005-09-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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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.