DR. WAEL OTHMAN (NPI# 1831144765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831144765 |
| Entity Type | Individual |
| Full Name | DR. WAEL OTHMAN |
| Other Name | DR. AHMD WAEL HAGOTHMN |
| Credential | M.D. |
| Practice Address |
4000 Mitchellville Rd Suite B216 Bowie MD 20716-3104 |
| Mailing Address |
2302 Noblewood Rd Edgewater MD 21037-3444 |
| Practice Telephone | 3012620020 |
| Practice Fax Number | 3018051124 |
| Mailing Telephone | 4109565835 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
D0060120 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
D0060120 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 402826100 | 05 |
| Street Address |
4000 MITCHELLVILLE RD SUITE B216 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408955 | Lynne Ann Jacobs | Nurse Practitioner | 4000 Mitchellville Rd, A-414, Bowie, MD 20716-3104 | 2005-06-23 |
| 1073059515 | Lifestream Health Center | Clinical Medical Laboratory | 4000 Mitchellville Rd, Suite B322, Bowie, MD 20716-3104 | 2017-01-09 |
| 1730531278 | Jessica Lynn Rizzo | Physical Therapist | 4000 Mitchellville Rd, Suite A404, Bowie, MD 20716 | 2016-07-08 |
| 1538535992 | Lifestyle Hearing Professionals, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2015-08-19 |
| 1841674777 | Lifestream Health Center | Non-Pharmacy Dispensing Site | 4000 Mitchellville Rd, B322, Bowie, MD 20716-3104 | 2015-07-09 |
| 1720468663 | Capital Orthopaedic Specialists LLC | Physical Therapist | 4000 Mitchellville Rd, Suite B116, Bowie, MD 20716-3104 | 2015-06-05 |
| 1366820284 | Capital Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 4000 Mitchellville Rd, Suite B 116, Bowie, MD 20716-3104 | 2015-05-12 |
| 1497154223 | Made To Move LLC | Clinic/Center | 4000 Mitchellville Rd, Suite 404a, Bowie, MD 20716-3104 | 2014-08-18 |
| 1841606258 | Doctors of Audiology, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2014-07-07 |
| 1881007995 | Digestive and Biliary Disease Consultants LLC | Hospitalist | 4000 Mitchellville Rd, Ste B 430, Bowie, MD 20716-3104 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346347820 | Riad Dakheel, M.d., P.a. | Internal Medicine | 4000 Mitchellville Rd., Suite B216, Bowie, MD 20716-3145 | 2006-09-19 |
| 1851754469 | Shahnaz K. Rao Mdpa | Internal Medicine | 14300 Gallant Fox Ln Ste 224, Bowie, MD 20715-4033 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003346404 | Kl Goring LLC | Internal Medicine | 995 Prince Frederick Blvd Ste 101, Prince Frederick, MD 20678-3199 | 2017-06-18 |
| 1144501461 | Guillermo J. Giangreco, M.d., LLC | Internal Medicine | 1741 Allerford Dr, Hanover, MD 21076-1798 | 2011-08-31 |
| 1447430376 | Creative Lifestyles Management Prog | Internal Medicine | 10 St. Patricks Drive, Suite 101, Waldorf, MD 20603-3500 | 2007-11-08 |
| 1972629210 | Karoline Moon | Internal Medicine | 6565 N. Charles Street, Ppe 411, Baltimore, MD 21204 | 2007-03-21 |
| 1760569974 | Midatlantic Sleep Disorder Center LLC | Internal Medicine | 13627 Baltimore Ave, Laurel, MD 20707-5095 | 2006-11-01 |
| 1770687493 | Thomas Francis Burke | Internal Medicine | 2303 Bel Air Rd, C/o Sleepmed, Fallston, MD 21047-2737 | 2006-09-12 |
| 1700824125 | Mohammad Miran | Internal Medicine | 1110 Opal Ct Ste 4&5, Hagerstown, MD 21740-5942 | 2006-06-04 |
| 1871080721 | Johns Hopkins University | Internal Medicine | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-04-17 |
| 1194174367 | Sleep Clinicalservices LLC | Internal Medicine | 6701 Democracy Blvd, Ste 300, Bethesda, MD 20817-1572 | 2016-06-08 |
| 1881043040 | Cpap Clinicalservices LLC | Internal Medicine | 6701 Democracy Blvd, Ste 300, Bethesda, MD 20817-1572 | 2016-06-08 |
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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.