VISHAL DATTA (NPI# 1982654489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD417796 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 410988101 | 05 |
Street Address |
11110 MEDICAL CAMPUS RD STE 108 |
City | HAGERSTOWN |
State | MD |
Zip Code | 21742-6734 |
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 |
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 | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
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. |
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 |
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 |
City | HAGERSTOWN |
Zip Code | 21742 |
Please comment or provide details below to improve the information on VISHAL DATTA.
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.