NPIMap

Organization Active NPI

Massoud B. Alizadeh M.D.,PA

  • Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1013235894
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D14800 Issued in MD
Legal business name
MASSOUD B. ALIZADEH M.D.,PA
Practice address
240 Frederick St
Hagerstown, MD 21740-6100
Phone
(301) 739-8049
Fax
(301) 733-3287
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Massoud B Alizadeh, M.D
Title
Physician
Phone
(301) 739-8049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D14800 MD Primary

Addresses

Primary practice location

240 Frederick St
Hagerstown, MD 21740-6100

Mailing address

240 Frederick St
Hagerstown, MD 21740-6100
Phone (301) 739-8049

Other identifiers 1

IdentifierTypeStateIssuer
004361300MedicaidMD

National Provider Directory

National Provider Directory

Locations

240 Frederick St
Hagerstown, MD 21740
Phone (301) 739-8049

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1013235894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 FREDERICK ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406100",
            "telephone_number": "301-739-8049",
            "fax_number": "301-733-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 FREDERICK ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406100",
            "telephone_number": "301-739-8049",
            "fax_number": "301-733-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSOUD B. ALIZADEH M.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "MASSOUD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-739-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D14800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004361300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.