OMAR HAMDALLAH (NPI# 1831359090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831359090 |
| Entity Type | Individual |
| Full Name | OMAR HAMDALLAH |
| Credential | M.D. |
| Practice Address |
5233 King Ave Suite 208 Baltimore MD 21237-4001 |
| Mailing Address |
10845 Philadelphia Rd White Marsh MD 21162-1717 |
| Practice Telephone | 4109181525 |
| Practice Fax Number | 4109181526 |
| Mailing Telephone | 4103350008 |
| Mailing Fax Number | 4103353113 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0077967 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | EMPLOYER HEALTH PROGRAMS (EHP) | 297413 | 01 |
| MD | MEDSTAR FAMILY CHOICE | N/A | 01 |
| MD | PRIORITY PARTNERS MCO (PPMCO) | 297413 | 01 |
| MD | CAREFIRST | 4490 0002 | 01 |
| MD | US FAMILY HEALTH PLAN (USFHP) | 297413 | 01 |
| MD | MEDICAL ASSISTANCE | 740002100 | 01 |
| MD | MEDICARE | 380791ZK7S | 01 |
| DC | CAREFIRST | 4490 0002 | 01 |
| Street Address |
5233 KING AVE SUITE 208 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845779 | James Kevin Poulton | Dermatology | 5233 King Ave, Ste 204, Baltimore, MD 21237-4003 | 2005-10-19 |
| 1164892154 | Bio-medical Applications of Maryland, Inc | Clinic/Center | 5233 King Ave, Baltimore, MD 21237-4001 | 2015-10-02 |
| 1043410905 | Drs Poulton & Smith LLC | Dermatology | 5233 King Ave, Suite 204, Baltimore, MD 21237-4001 | 2007-07-19 |
| 1285666008 | Dr. Ahmad Abu-ghaida, M.d., P.a. | Surgery | 5233 King Ave, Suite 208, Baltimore, MD 21237-4003 | 2006-07-06 |
| 1538198734 | Matthew Belzak | Anesthesiology | 5233 King Ave, Ste 208, Baltimore, MD 21237-4003 | 2006-07-01 |
| 1336199942 | Michael Auerbach | Internal Medicine | 5233 King Ave, Suite 308, Baltimore, MD 21237-4001 | 2006-05-12 |
| 1790734549 | Huzefa F Bahrain | Internal Medicine | 5233 King Ave, Suite 308, Baltimore, MD 21237-4001 | 2006-05-09 |
| 1659320257 | Ahmad M. Abu-ghaida | Surgery | 5233 King Ave, Suite 208, Baltimore, MD 21237-4001 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285815530 | Bay Vascular Surgery, LLC | Surgery | 3623 Falls Rd, Baltimore, MD 21211-1815 | 2007-11-15 |
| 1811042641 | Kevin Arthur Brown | Surgery | 3333 N Calvert St Ste 325, Baltimore, MD 21218-2866 | 2007-01-24 |
| 1881625564 | Brajesh Kumar Lal | Surgery | 22 S Greene St # N4w66, Baltimore, MD 21201-1544 | 2006-07-05 |
| 1790757847 | Fayyaz Haider Hashmi | Surgery | 2435 W Belvedere Ave Ste 35, Baltimore, MD 21215-5224 | 2006-02-03 |
| 1528402252 | Sarasijhaa K Desikan | Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201 | 2013-04-24 |
| 1710245931 | Jason Andrew Chin | Surgery | 3333 N Calvert St, Johnston Professional Building 325, Baltimore, MD 21218-2850 | 2012-04-25 |
| 1356607139 | Caitlin Whitney Hicks | Surgery | 600 N Wolfe St, Halsted 668, Baltimore, MD 21287-0005 | 2012-04-06 |
| 1043530553 | Michael R Hall | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2010-06-07 |
| 1568694875 | The Good Samaritan Hospital of Maryland, Inc. | Surgery | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1629208749 | Alain Tanbe | Surgery | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2009-07-23 |
| Find all providers in BALTIMORE | ||||
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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.