MARYLAND RETINA INSTITUTE LLC (NPI# 1568973444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568973444 |
| Entity Type | Organization |
| Organization Name | MARYLAND RETINA INSTITUTE LLC |
| Practice Address |
2919 Olney Sandy Spring Rd Ste D Olney MD 20832 |
| Mailing Address |
2919 Olney Sandy Spring Rd Ste D Olney MD 20832-1589 |
| Practice Telephone | 3018764900 |
| Mailing Telephone | 3018764900 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | DR. RAZA MURTAZA SHAH (PHYSICIAN) |
| Authorized Official Telephone | 3018764900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AMERIGROUP | 07207311 | 01 |
| MD | HIGHMARK BLUESHIELD | 1205098910 | 01 |
| MD | CAREFIRST BLUECROSS BLUESHIELD | 49280003 | 01 |
| MD | 658406300 | 05 | |
| MD | UNITEDHEALTHCARE | 1205098910 | 01 |
| MD | CIGNA | 1205098910 | 01 |
| MD | MARYLAND PHYSICIANS CARE | 1205098910 | 01 |
| Street Address |
2919 OLNEY SANDY SPRING RD STE D |
| City | OLNEY |
| State | MD |
| Zip Code | 20832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205098910 | Raza Shah | Internal Medicine | 2919 Olney Sandy Spring Rd Ste D, Olney, MD 20832 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296610 | Retina First LLC | Ophthalmology | 1502 S Main St Ste 305, Mount Airy, MD 21771-5374 | 2020-02-06 |
| 1912423567 | Panos George Christakis | Ophthalmology | 10 Center Drive; Building 10-crc, Bethesda, MD 20892-0001 | 2017-08-16 |
| 1831620020 | Greater Baltimore Vitreoretinal Specialists, LLC | Ophthalmology | 2327 Boston St, Unit 1, Baltimore, MD 21224-3672 | 2017-03-21 |
| 1659714707 | Sidney Ariel Schechet | Ophthalmology | 9114 Philadelphia Rd Ste 310, Baltimore, MD 21237-4350 | 2013-04-08 |
| 1801057146 | Joshua Kiran Fernandes | Ophthalmology | 2101 Medical Park Dr Ste 303, Silver Spring, MD 20902-4053 | 2008-06-19 |
| 1205857349 | Robert E. Parnes, M.d., LLC | Ophthalmology | 246 Eastern Blvd N Ste 102, Hagerstown, MD 21740 | 2006-07-22 |
| 1760421929 | Michael Joel Elman | Ophthalmology | 9114 Philadelphia Road, Suite 310, Baltimore, MD 21237-2123 | 2006-06-05 |
| 1427055144 | Fadi Philip Nasrallah | Ophthalmology | 6720a Rockledge Dr Ste 200, Bethesda, MD 20817-1888 | 2005-07-07 |
| 1235487042 | Sadiq N Syed Md LLC | Ophthalmology | 5963 Exchange Dr, Suite 108, Sykesville, MD 21784-9251 | 2012-08-28 |
| 1629203625 | Nishi Gulati | Ophthalmology | 6410 Rockledge Dr, Suite 400, Bethesda, MD 20817-1809 | 2009-05-19 |
| Find all providers with the same taxonomy | ||||
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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.