DR. IBRAHIM R MADY (NPI# 1629115332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629115332 |
| Entity Type | Individual |
| Full Name | DR. IBRAHIM R MADY |
| Credential | MD |
| Practice Address |
6620 Crain Hwy Ste 104 La Plata MD 20646 |
| Practice Telephone | 3019342299 |
| Practice Fax Number | 3013922119 |
| Mailing Telephone | 3019342299 |
| Mailing Fax Number | 3013922119 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | D0032669 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
6620 CRAIN HWY STE 104 |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235142837 | O W John & Assc | Dentist | 6620 Crain Hwy, Ste 204, La Plata, MO 20646 | 2006-08-14 |
| 1912301201 | Orville John | Dentist | 6620 Crain Hwy, Suite 204, La Plata, MD 20646-5204 | 2014-10-15 |
| 1730226440 | Ghassan K Hatoum | General Practice | 6620 Crain Hwy, Ste 104, La Plata, MD 20646 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568507945 | Med-surg Care PC | General Practice | 6620 Crain Highway, La Plata, MD 20646 | 2007-02-21 |
| 1730226440 | Ghassan K Hatoum | General Practice | 6620 Crain Hwy, Ste 104, La Plata, MD 20646 | 2007-01-31 |
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|---|---|---|---|---|
| 1700490950 | Arlene Elizabeth George | General Practice | 1500 W Perimeter Rd Ste 4350, Jb Andrews, MD 20762-6604 | 2020-09-04 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1548889447 | Canary Doctor LLC | General Practice | 8904 Maxwell Dr, Potomac, MD 20854-3124 | 2020-04-10 |
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1881239838 | Avicention LLC | General Practice | 350c Fortune Ter # 227, Potomac, MD 20854-2980 | 2019-11-14 |
| 1972148963 | My Primary Care | General Practice | 826 Washington Rd Ste 110, Westminster, MD 21157-5779 | 2019-11-13 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 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 |
| 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.