VISHAL DATTA


Address: 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742-6734
Phone: 3017144041

VISHAL DATTA (NPI# 1982654489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982654489
Entity Type Individual
Full Name VISHAL DATTA
Credential M.D.
Practice Address 11110 Medical Campus Rd Ste 108
Hagerstown
MD 21742-6734
Mailing Address 100 Market St
Ste 300
Collegeville
PA 19426-4927
Practice Telephone 3017144041
Practice Fax Number 3017144351
Mailing Telephone 2159979441
Mailing Fax Number 2159976730
Enumeration Date 2006-05-12
Last Update Date 2019-01-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
MD417796 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 410988101 05

Office Location

Street Address 11110 MEDICAL CAMPUS RD STE 108
City HAGERSTOWN
State MD
Zip Code 21742-6734

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265407597 Douglas Dixon Clarke Internal Medicine 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742-6734 2006-02-21
1851751341 Elizabeth Ann Fields Nurse Practitioner 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742-6734 2016-02-26
1205174430 Milay Luis Lam Specialist 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742-6734 2013-01-23
1407060387 Timothy Higgins Dietitian, Registered 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742-6734 2007-05-09
1396804324 James F. Wachter Nurse Practitioner 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742-6734 2006-12-06

Providers in the same zip code

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 Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235317850 Vishal Datta Md Pa Internal Medicine 356 Mill St, Hagerstown, MD 21740-6138 2008-02-06
1265407597 Douglas Dixon Clarke Internal Medicine 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742-6734 2006-02-21
1871589663 Adriana C Maldonado-brem II Internal Medicine 11110 Medical Campus Rd, Suite 108, Hagerstown, MD 21742-6700 2005-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477102309 Lifebridge Suburban Physicians Group, LLC Internal Medicine 4 W Rolling Cross Road, Suite 100, Catonsville, MD 21228-6280 2019-09-04
1285282046 Lee Scott Weinstein Internal Medicine 10 Center Drive Bldg 10 Rm8c101, Bethesda, MD 20892-0001 2019-08-26
1811453475 Leila Shobab Internal Medicine 5514 Greentree Rd, Bethesda, MD 20817-3548 2019-02-19
1558825307 Ideal Endocrinology LLC Internal Medicine 3000 Chestnut Ave Ste 202, Baltimore, MD 21211-2794 2019-01-25
1912475633 Jocelyn Uriostegui Internal Medicine 108 Forbes St # 2, Annapolis, MD 21401-1502 2018-11-12
1104300334 Johns Hopkins University Internal Medicine 1700 N Caroline St, Baltimore, MD 21213-2204 2018-09-24
1356857643 Capital Diabetes & Endocrine Associates LLC Internal Medicine 5801 Allentown Rd Ste 500, Camp Springs, MD 20746-4518 2017-12-21
1427567163 Phillip Gorden Internal Medicine 10 Center Dr Building 10/crc Room 6-5940, Bethesda, MD 20892-0001 2017-09-26
1366986739 Maryland Medical Center, LLC Internal Medicine 8100 Sandpiper Cir Ste 100, Nottingham, MD 21236-5028 2016-12-05
1174079180 Theresa Kehoe Internal Medicine 11712 Lovejoy St, Silver Spring, MD 20902-1637 2016-08-30
Find all providers with the same taxonomy

Competitor

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City HAGERSTOWN
Zip Code 21742

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Dataset Information

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.

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