AGAS MEDICAL GROUP, LLC (NPI# 1134461940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134461940 |
| Entity Type | Organization |
| Organization Name | AGAS MEDICAL GROUP, LLC |
| Practice Address |
9811 Mallard Dr Suite # 213 Laurel MD 20708-3143 |
| Practice Telephone | 3016040562 |
| Practice Fax Number | 2408409533 |
| Mailing Telephone | 3016040562 |
| Mailing Fax Number | 2408409533 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | DR. KIMBERLY A. ANDERSON (PHYSICIAN) |
| Authorized Official Telephone | 3014837999 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | D0034747 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 010167200 | 05 |
| Street Address |
9811 MALLARD DR SUITE # 213 |
| City | LAUREL |
| State | MD |
| Zip Code | 20708-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477533230 | Swapna Abhyankar | Specialist | 9811 Mallard Dr, Suite 109, Laurel, MD 20708-3143 | 2006-01-18 |
| 1851772032 | Augustus C. Dickens | Counselor | 9811 Mallard Dr, Laurel, MD 20708-3143 | 2015-06-14 |
| 1417377748 | Shannon M Hawk | Chiropractor | 9811 Mallard Dr, Ste 218, Laurel, MD 20708-3143 | 2014-04-25 |
| 1629334867 | Emily Catherine Skoda-mount | Pediatrics | 9811 Mallard Dr, Suite # 109, Laurel, MD 20708-3143 | 2012-04-02 |
| 1376823823 | Therapy @ 9811 Inc | Counselor | 9811 Mallard Dr, Suite 210/211, Laurel, MD 20708-3143 | 2011-08-27 |
| 1477886802 | Stephen R. Damm, M.d., P.a. | Dermatology | 9811 Mallard Dr, Suite 220, Laurel, MD 20708-3143 | 2009-09-17 |
| 1982878997 | Karenga R Lemmons, M.d., L.L.C. | Specialist | 9811 Mallard Dr, Ste 211, Laurel, MD 20708-3143 | 2008-04-22 |
| 1962674721 | Laurel Regional Chiropractic, LLC | Chiropractor | 9811 Mallard Dr, Suite 218, Laurel, MD 20708-3143 | 2008-04-01 |
| 1073647442 | Stephanie Wilks Perdue | Pediatrics | 9811 Mallard Dr, Suite 109, Laurel, MD 20708-3143 | 2007-03-15 |
| 1205979903 | Martha Jane Horn | Counselor | 9811 Mallard Dr, Suite 211, Laurel, MD 20708-3143 | 2007-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1588287072 | Rebecca Sim | Social Worker | 14112 Bramble Court, Apt 101, Laurel, MD 20708 | 2020-05-19 |
| 1265082978 | Leslie Duncan | Nurse Practitioner | 12908 Golden Oak Dr, Laurel, MD 20708 | 2019-09-14 |
| 1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
| 1073083655 | Mamta Sampemane | Occupational Therapist | 14409 Greenview Drive Ste 102, Laurel, MD 20708 | 2018-11-27 |
| 1669950275 | Ngendap Tengen Coreen | Home Health Aide | 13009 Mistletoe Spring Rd Apt 516, Laurel, MD 20708 | 2018-08-06 |
| 1447737994 | Chelsey Nicole Garwood | Technician | 9614 Muirkirk Rd, Apt C166, Laurel, MD 20708 | 2018-07-26 |
| 1730665951 | Agnes Aka Nkafu | Home Health Aide | 9017 Contee Rd Apt 302, Laurel, MD 20708 | 2018-07-11 |
| 1568988756 | Olabisi Ntumngia | Home Health Aide | 8903 Ascot Lane, Apt 11, Laurel, MD 20708 | 2017-08-18 |
| 1376083014 | Amiable Home Health Inc. | Home Health | 10120 Bignonia Drive, Laurel, MD 20708 | 2017-02-28 |
| Find all providers in zip 20708 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1386916815 | George D Richards | General Practice | 17 Beach Road, Laurel, NY 11948 | 2012-01-30 |
| 1457674327 | Deep Kukreti and Associates, LLC | General Practice | 9900 Washington Blvd N, Suite L, Laurel, MD 20723-1971 | 2010-03-08 |
| 1801008107 | Ahmad Shamim | General Practice | 200 Fort Meade Road, #9, Laurel, MD 20707-4434 | 2007-05-07 |
| 1952307308 | Sergio G Gonzalez Md Pa | General Practice | 119 South 12th Avenue, Laurel, MS 39440-4322 | 2005-06-21 |
| 1467767988 | Region Xii Commission | General Practice | 934 West Dr, Laurel, MS 39440-4702 | 2010-08-09 |
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| 1720623242 | Assured Access Medical Associates Inc. | General Practice | 7221 Hanover Pkwy Ste C, Greenbelt, MD 20770-2022 | 2019-11-07 |
| 1780240671 | Capstone Treatment Center, Inc | General Practice | 1133 E West Hwy Apt 204e, Silver Spring, MD 20910-4804 | 2019-05-15 |
| 1861058935 | Revive Treatment Center Inc | General Practice | 1133 E West Hwy Apt 1515w, Silver Spring, MD 20910-6833 | 2019-05-14 |
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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.