Organization Active NPI

Ehab Shalaby MD, PA

  • Specialist
  • Hagerstown, MD
National Provider Identifier
1083908750
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0065220 Issued in MD
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

Updated by the provider on May 21, 2015

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

324 E Antietam St
Ste 126A
Hagerstown, MD 21740

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.