DR. ANISA A. MIRZA (NPI# 1144298803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144298803 |
| Entity Type | Individual |
| Full Name | DR. ANISA A. MIRZA |
| Credential | M.D. |
| Practice Address |
849 Fairmont Avenue Suite 100 B Towson MD 21286-2600 |
| Practice Telephone | 4104694981 |
| Practice Fax Number | 4104694983 |
| Mailing Telephone | 4104694981 |
| Mailing Fax Number | 4104694983 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D41536 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 308001300 | 05 |
| Street Address |
849 FAIRMONT AVENUE SUITE 100 B |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164490033 | Rose Mary Mulaikal | Pediatrics | 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | 2006-03-08 |
| 1508225798 | Lifebridge Community Physicians, Inc. | Internal Medicine | 849 Fairmont Avenue, Suite 100b, Towson, MD 21286-2600 | 2016-02-16 |
| 1629495528 | Lifebridge Community Pediatrics, LLC | Pediatrics | 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | 2014-03-28 |
| 1538499884 | Teresa Rose-marie Mark | Pediatrics | 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | 2010-01-09 |
| 1881875532 | Dorothy Simonsson | Pediatrics | 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | 2007-11-23 |
| 1578617825 | Peter J Claybour | Pediatrics | 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | 2007-01-23 |
| 1093784639 | Paul Zoltan Bodnar | Pediatrics | 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | 2006-03-16 |
| 1184692592 | Deborah Gisriel Bittar | Pediatrics | 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | 2006-03-10 |
| 1508834185 | Jonathan Eric Surell | Pediatrics | 849 Fairmont Avenue, Suite 100a, Towson, MD 21286-2600 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1538774609 | Benchmark Medical LLC | Internal Medicine | 904 Stags Head Rd, Towson, MD 21286-1459 | 2020-09-15 |
| 1447784723 | Michael Colin Mahon | Internal Medicine | 7505 Osler Dr Ste 402, Towson, MD 21204-7739 | 2017-04-13 |
| 1780060533 | Getwell Urgent Care, LLC | Internal Medicine | 7825 York Rd, Towson, MD 21204-7445 | 2015-08-04 |
| 1780096727 | Julietta Militello | Internal Medicine | 7801 York Rd Ste 102, Towson, MD 21204-7447 | 2014-05-26 |
| 1902241649 | Shruti Murali | Internal Medicine | 7501 Osler Dr Ste 102, Towson, MD 21204-7733 | 2013-05-08 |
| 1699029124 | Gail W Miller | Internal Medicine | 1124 Cowpens Ave, Towson, MD 21286-1718 | 2012-11-06 |
| 1780947895 | Sanel Health LLC | Internal Medicine | 20 Lambourne Rd, Apt 203, Towson, MD 21204-2800 | 2012-06-22 |
| 1447530019 | Rhodora C. Tumanon | Internal Medicine | 607 Goucher Blvd, Towson, MD 21286-2957 | 2011-08-26 |
| 1629367123 | Anoop Mohanbhai Patel | Internal Medicine | 7505 Osler Dr Ste 103, Towson, MD 21204-7737 | 2011-04-05 |
| 1508155177 | Elizabeth Wenqian Wang | Internal Medicine | 7505 Osler Dr Ste 407, Towson, MD 21204-7739 | 2011-04-04 |
| Find all providers in TOWSON | ||||
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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.