HAGERSTOWN PEDIATRICS (NPI# 1912965997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912965997 |
| Entity Type | Organization |
| Organization Name | HAGERSTOWN PEDIATRICS |
| Practice Address |
363 S Cleveland Ave Suite 201 Hagerstown MD 21740-5747 |
| Practice Telephone | 3017339335 |
| Practice Fax Number | 3017334191 |
| Mailing Telephone | 3017339335 |
| Mailing Fax Number | 3017334191 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHAFAAT ULLAH KHAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3017339335 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
D0060377 | MD | Ambulatory Health Care Facilities |
| Street Address |
363 S CLEVELAND AVE SUITE 201 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386606234 | Bibhas C Bandy | Otolaryngology | 363 S Cleveland Ave, Suite 202, Hagerstown, MD 21740-5747 | 2006-04-05 |
| 1790955292 | Charles Robert Chaney | Specialist | 363 S Cleveland Ave, Hagerstown, MD 21740-5747 | 2008-03-11 |
| 1801074620 | Dr Lynn Rider | Obstetrics & Gynecology | 363 S Cleveland Ave, Hagerstown, MD 21740-5747 | 2008-02-04 |
| 1538213715 | Hagerstown Ear Nose & Throat Associates | Otolaryngology | 363 S Cleveland Ave, Suite 202, Hagerstown, MD 21740-5747 | 2007-01-23 |
| 1326129065 | Lynn Alan Rider | Specialist | 363 S Cleveland Ave, Suite 100, Hagerstown, MD 21740-5747 | 2006-10-18 |
| 1821194887 | George Kalin | Audiologist | 363 S Cleveland Ave, Hagerstown, MD 21740-5747 | 2006-09-16 |
| 1588770465 | Antietam Surgeons Charles R Chaney Md Pa | Surgery | 363 S Cleveland Ave, Hagerstown, MD 21740-5747 | 2006-08-22 |
| 1790733699 | Shafaat Ullah Khan | Pediatrics | 363 S Cleveland Ave, Suite 201, Hagerstown, MD 21740-5747 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139380 | Change Health Systems, Inc | Clinic/Center | 7 N Potomac St, Hagerstown, MD 21740-4805 | 2015-07-10 |
| 1366855017 | After Hours Pediatrics | Clinic/Center | 186 Eastern Blvd N, Hagerstown, MD 21740-5843 | 2014-06-10 |
| 1821370644 | Allegeny Medical LLC | Clinic/Center | 324 East Antietam Str., Suite 305, Hagerstown, MD 21740-5768 | 2011-09-19 |
| 1790860898 | Vasant Datta Md LLC | Clinic/Center | 9727 Pembroke Dr, Hagerstown, MD 21740-1568 | 2006-10-26 |
| 1952765901 | Concentra Primary Care Pa | Clinic/Center | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2016-04-06 |
| 1578989216 | Wells House Inc | Clinic/Center | 124 E Baltimore St, Hagerstown, MD 21740-6104 | 2014-03-05 |
| 1922370121 | Jeffrey D. Hurwitz, Md LLC | Clinic/Center | 265 Mill St, Suite 600, Hagerstown, MD 21740-6130 | 2012-02-02 |
| 1639208994 | The Children's Doctor | Clinic/Center | 319 E Antietam St, Hagerstown, MD 21740-5701 | 2007-03-05 |
| 1336231950 | Internal Medicine Practice, P.a. | Clinic/Center | 324 E Antietam St Ste 306, Hagerstown, MD 21740-5768 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552219 | Premier Medical Care, LLC | Clinic/Center | 19735 Germantown Rd Ste 280, Germantown, MD 20874-1215 | 2020-09-09 |
| 1982226023 | Complete Access Care, LLC | Clinic/Center | 1035 Ingleside Ave, Catonsville, MD 21228-1318 | 2020-05-12 |
| 1184245045 | Comfort Primary Care | Clinic/Center | 9966 Royal Commerce Pl, Upper Marlboro, MD 20774-1163 | 2020-05-01 |
| 1407476955 | Rcc Community Services, Inc | Clinic/Center | 2628 Harford Rd, Baltimore, MD 21218-4928 | 2020-04-24 |
| 1013536960 | Philomena Nufunkuen Keli | Clinic/Center | 15012 Saddle Creek Dr, Burtonsville, MD 20866-2211 | 2020-04-10 |
| 1629606454 | Advanced Primary Care | Clinic/Center | 525 Eastern Ave # B2, Fairmount Heights, MD 20743-1677 | 2020-03-28 |
| 1588211890 | Two Tree Health Associates, LLC | Clinic/Center | 10 S Hanson St Ste 21, Easton, MD 21601-3078 | 2019-08-21 |
| 1427604099 | Ecarenow LLC | Clinic/Center | 176 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4535 | 2019-08-09 |
| 1326691874 | Lotus Healthcare and Wellness LLC | Clinic/Center | 6495 New Hampshire Ave Ste B140, Hyattsville, MD 20783-3245 | 2019-07-23 |
| 1831750546 | Matobi Family Healthcare,llc | Clinic/Center | 7350 Van Dusen Rd Ste 340, Laurel, MD 20707-5264 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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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.