ATLANTIS VASCULAR RESOURCES LLC (NPI# 1821444902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821444902 |
Entity Type | Organization |
Organization Name | ATLANTIS VASCULAR RESOURCES LLC |
Practice Address |
11110 Medical Campus Rd Ste 101 Hagerstown MD 21742-6711 |
Mailing Address |
15245 Shady Grove Rd Ste 325 Rockville MD 20850-6280 |
Practice Telephone | 2403290999 |
Practice Fax Number | 2403292755 |
Mailing Telephone | 3014340050 |
Mailing Fax Number | 3014481679 |
Enumeration Date | 2016-05-09 |
Last Update Date | 2016-05-31 |
Authorized Official Name | MUBASHAR A CHOUDRY (OWNER) |
Authorized Official Telephone | 3018912500 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D0042222 | MD | Allopathic & Osteopathic Physicians |
Street Address |
11110 MEDICAL CAMPUS RD STE 101 |
City | HAGERSTOWN |
State | MD |
Zip Code | 21742-6711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548424336 | Matthew S Dicks | Physical Therapist | 11110 Medical Campus Rd Ste 101, Hagerstown, MD 21742-6711 | 2008-07-11 |
1639577810 | Amanda Julienne Tyler | Physical Therapist | 11110 Medical Campus Rd Ste 101, Hagerstown, MD 21742-6711 | 2014-12-20 |
1174927537 | Julie Coblentz | Physical Therapist | 11110 Medical Campus Rd Ste 101, Hagerstown, MD 21742-6711 | 2014-10-14 |
1942609375 | Douglas Allen | Physical Therapist | 11110 Medical Campus Rd Ste 101, Hagerstown, MD 21742-6711 | 2014-08-21 |
1598086340 | Eric C Sampsell | Physical Therapist | 11110 Medical Campus Rd Ste 101, Hagerstown, MD 21742-6711 | 2010-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
Find all providers in zip 21742 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1881788677 | Ernest Kojo Amegashie | Internal Medicine | 1219 Mount Aetna Rd, Suite 201, Hagerstown, MD 21742-6550 | 2006-10-03 |
1740283241 | Zubair Haider Faridi | Internal Medicine | 1733 Howell Rd, Hagerstown, MD 21740-6638 | 2005-05-27 |
1457516544 | Payam Fallahi | Internal Medicine | 1733 Howell Rd, Hagerstown, MD 21740-6638 | 2008-07-28 |
1649443714 | John H Hornbaker Jr. | Internal Medicine | 11110 Medical Campus Rd, S 223, Hagerstown, MD 21742-6700 | 2008-04-09 |
1629278692 | Elizabeth Konadu | Internal Medicine | 11110 Medical Campus Rd, # 223, Hagerstown, MD 21742-6700 | 2007-07-19 |
1891913240 | Girish Thimma Reddy | Internal Medicine | 1733 Howell Rd, Hagerstown, MD 21740-6638 | 2007-04-23 |
1770609653 | Heart Center At Mt.airy | Internal Medicine | 1219 Mount Aetna Rd, Suite 201, Hagerstown, MD 21742-6550 | 2007-03-22 |
1366513335 | John H Hornbaker Jr Md Pa | Internal Medicine | 11110 Medical Campus Rd, S223, Hagerstown, MD 21742-6700 | 2006-11-13 |
1073538807 | Tarek Nabil El-sherif | Internal Medicine | 11110 Medical Campus Rd, # 223, Hagerstown, MD 21742-6700 | 2006-07-13 |
1649220484 | Hagerstown Heart, P.a. | Internal Medicine | 1733 Howell Rd, Hagerstown, MD 21740-6638 | 2006-05-11 |
Find all providers in HAGERSTOWN |
City | HAGERSTOWN |
Zip Code | 21742 |
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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.