DR. NAGJI J SUREJA (NPI# 1932135548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932135548 |
| Entity Type | Individual |
| Full Name | DR. NAGJI J SUREJA |
| Credential | M.D. |
| Practice Address |
4212 Ridge Rd Westminster MD 21157-7849 |
| Practice Telephone | 4107953800 |
| Practice Fax Number | 4107953817 |
| Mailing Telephone | 4107953800 |
| Mailing Fax Number | 4107953817 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
D22663 | MD | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | D22663 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DEA LIC. | AS8447371 | 01 |
| MD | MARYLAND STATE LIC | D22663 | 01 |
| Street Address |
4212 RIDGE RD |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-7849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629388822 | Nagji Sureja, M.d., P.a. | Specialist | 4212 Ridge Rd, Westminster, MD 21157-7849 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078852 | Phuc Dang Nguyen | Family Medicine | 7901 Westminster Blvd, Westminster, CA 92683-4001 | 2005-07-29 |
| 1285089052 | Juliana Wilking-johnson | Family Medicine | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2016-04-29 |
| 1104118454 | American Hearing & Balance Centers, Inc. | Family Medicine | 10955 Westmoor Dr, Ste. 400, Westminster, CO 80021-2704 | 2011-05-04 |
| 1124280201 | Phuc Dang Nguyen Md Inc | Family Medicine | 7901 Westminster Blvd, Westminster, CA 92683-4001 | 2008-06-30 |
| 1114121407 | Phuc Dang Nguyen M.d Inc | Family Medicine | 7901 Westminster Blvd, Westminster, CA 92683-4001 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376735100 | Edger V Potter Jr Md Inc | Family Medicine | 12017 Fort Washington Rd, Fort Washington, MD 20744-6004 | 2007-08-15 |
| 1750595401 | Ted Eric Howe | Family Medicine | 18100 Slade School Rd, Sandy Spring, MD 20860-1313 | 2007-05-10 |
| 1265594493 | Andres Salazar | Family Medicine | 3621 Ligon Rd, Ellicott City, MD 21042-5238 | 2006-12-14 |
| 1497841563 | Farzana Ajmal | Family Medicine | 19731 Executive Park Cir, Germantown, MD 20874-2642 | 2006-10-05 |
| 1942391693 | Paul A. Devore Md PC | Family Medicine | 4203 Queensbury Rd, Hyattsville, MD 20781-1435 | 2006-09-27 |
| 1063445013 | Lifestyle Medical Center, Cheryl Brown-christopher M. D., Chartered | Family Medicine | 116 Defense Hwy Ste 200, Annapolis, MD 21401-7045 | 2006-07-09 |
| 1689612236 | Raman Tuli, Md, P.C. | Family Medicine | 10810 Darnestown Rd, Suite 202, Gaithersburg, MD 20878-2675 | 2006-06-04 |
| 1851346423 | Arvind D Desai | Family Medicine | 30 Corporate Center, 10440 Little Patuxent Parkway, Suite 300, Columbia, MD 21044-3648 | 2006-05-23 |
| 1134102775 | Cyrus Hamidi | Family Medicine | 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9451 | 2005-11-29 |
| 1902808835 | Sarita Sharma | Family Medicine | 12916 Conamar Dr, Suite 204, Hagerstown, MD 21742-2760 | 2005-08-11 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.