Active NPI
Ehab Shalaby MD, PA
- Specialist
- Hagerstown, MD
National Provider Identifier
1083908750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0065220
- Legal business name
- EHAB SHALABY MD, PA
- Doing business as
- Maryland Pain and Spine Associates
- Practice address
- 324 E Antietam St
Suite 306a
Hagerstown, MD 21740-5754 - Phone
- (240) 469-3002
- Fax
- (240) 469-3193
- NPI assigned
- May 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ehab Shalaby, MD
- Title
- Owner
- Phone
- (443) 610-5814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0065220 | MD | Primary |
Addresses
Primary practice location
324 E Antietam St
Suite 306a
Hagerstown, MD 21740-5754
Mailing address
324 E Antietam St
Suite 306a
Hagerstown, MD 21740-5754
Phone (240) 469-3002
Other names 1
- Maryland Pain and Spine Associates
National Provider Directory
National Provider DirectoryLocations
324 E Antietam St
Ste 126A
Hagerstown, MD 21740
Interoperability endpoints
- https://api.platform.athenahealth.com/13540/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432166400000",
"number": "1083908750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E ANTIETAM ST",
"address_2": "SUITE 306A",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405754",
"telephone_number": "240-469-3002",
"fax_number": "240-469-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 E ANTIETAM ST",
"address_2": "SUITE 306A",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405754",
"telephone_number": "240-469-3002",
"fax_number": "240-469-3193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EHAB SHALABY MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-31",
"last_updated": "2015-05-21",
"status": "A",
"authorized_official_last_name": "SHALABY",
"authorized_official_first_name": "EHAB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-610-5814",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0065220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maryland Pain and Spine Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
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 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.