MID ATLANTIC ADDICTION MEDICINE (NPI# 1396154290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396154290 |
| Entity Type | Organization |
| Organization Name | MID ATLANTIC ADDICTION MEDICINE |
| Practice Address |
1110 Benfield Blvd Suite J Millersville MD 21108-2639 |
| Mailing Address |
1125 Madison St Apt 314 Alexandria VA 22314-6409 |
| Practice Telephone | 4109231382 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | EHSAN ABDESHAHIAN (PRESIDENT) |
| Authorized Official Telephone | 4053060384 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1110 BENFIELD BLVD SUITE J |
| City | MILLERSVILLE |
| State | MD |
| Zip Code | 21108-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215980552 | Eric Harold English | Psychologist | 1110 Benfield Blvd, Ste H, Millersville, MD 21108-2540 | 2006-05-18 |
| 1922621051 | Andrea Ellis | Counselor | 1110 Benfield Blvd, Millersville, MD 21108-2639 | 2020-05-23 |
| 1902381551 | Salvatore Eugene Schittino | Counselor | 1110 Benfield Blvd, Millersville, MD 21108-2639 | 2018-09-29 |
| 1679092670 | Lauren Williams | Counselor | 1110 Benfield Blvd, Millersville, MD 21108-2639 | 2017-09-12 |
| 1790200574 | Lindsay Cole Roszell | Social Worker | 1110 Benfield Blvd, Millersville, MD 21108-2639 | 2017-08-14 |
| 1255879714 | Mary Branch Foard | Counselor | 1110 Benfield Blvd, Suite J, Millersville, MD 21108-2639 | 2017-02-05 |
| 1427590645 | Devon Stokes, Phd, LLC | Psychologist | 1110 Benfield Blvd, Suite H, Millersville, MD 21108-2639 | 2016-11-07 |
| 1659828127 | Shira Levy | Psychologist | 1110 Benfield Blvd, Suite J, Millersville, MD 21108-2639 | 2016-09-01 |
| 1437605755 | Chase Counseling, LLC | Social Worker | 1110 Benfield Blvd, Suite H, Millersville, MD 21108-1705 | 2016-08-28 |
| 1225583123 | Mid-atlantic Addiction Medicine LLC | Clinic/Center | 1110 Benfield Blvd, Suite H, Millersville, MD 21108-2639 | 2016-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152171 | Jlg Counseling Services | Clinic/Center | 584 Belmawr Place, Millersville, MD 21108 | 2020-10-22 |
| 1154949816 | Rukiya Davis | Social Worker | Villa Maria Catholic Charities 1111 Benfield Blvd, Ste 200, Millersville, MD 21108 | 2020-07-09 |
| 1073175485 | Elaine Reed | Social Worker | 1111 Benfied Blvd Suite 104, Millersville, MD 21108 | 2019-07-05 |
| 1518431170 | Harbour House Inc | Community/Behavioral Health | 8354 Woodland Road, Millersville, MD 21108 | 2019-01-17 |
| 1235653817 | Jacob A Becker | Chiropractor | 683 Old Mill Road, Millersville, MD 21108 | 2017-07-26 |
| 1336669563 | Ilene Abigail Gruber | Social Worker | 1114 Benefield Blvd, Suite G, Millersville, MD 21108 | 2017-06-20 |
| 1700338654 | Lisa Maholchic | Social Worker | 1114 Befield Blvd, Unit G, Millersville, MD 21108 | 2016-10-26 |
| 1174962658 | Christy Joy Shiloh | Specialist | 649 Old Mill Road, Millersville, MD 21108 | 2013-06-18 |
| 1396022406 | Christina Triantafilidis | Physical Therapist | 8638 Veterans Hwy Fl 1, Millersville, MD 21108 | 2011-11-03 |
| 1316253180 | Anuj Bhatnagar | Family Medicine | 8601 Veterans Hwy Ste 200, Millersville, MD 21108 | 2010-08-31 |
| Find all providers in zip 21108 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740672476 | Arundel Pain Associates | Anesthesiology | 6730 Holabird Ave Ste 201, Dundalk, MD 21222-1700 | 2015-03-04 |
| 1972922920 | Maryland Physicians Edge LLC | Anesthesiology | 1400 Forest Glen Rd, 500, Silver Spring, MD 20910-1459 | 2014-04-07 |
| 1225005184 | Maurice H Richardson | Anesthesiology | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2006-02-28 |
| City | MILLERSVILLE |
| Zip Code | 21108 |
Please comment or provide details below to improve the information on MID ATLANTIC ADDICTION MEDICINE.
| 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.