Martin Anu Awung

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R3496 Issued in MD

Practice address

8611 Lugano Rd
Randallstown, MD 21133-4413

Phone

(443) 255-3937

Fax

(410) 680-6598

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infinity Health Care Services LLC

  • Home Health Agency
  • Randallstown, MD
  • NPI 1992126932
  NPD (past) Authorized official

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1104431931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 LUGANO RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334413",
            "telephone_number": "443-255-3937",
            "fax_number": "410-680-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 LUGANO RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334413",
            "telephone_number": "443-255-3937",
            "fax_number": "410-680-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUNG",
        "first_name": "MARTIN",
        "middle_name": "ANU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R3496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5113504000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Randallstown",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Randallstown",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Randallstown",
            "address_1": "8611 Lugano Rd",
            "city": "Randallstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211334413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Felicia M. Austin, M.D.
• Avanta Support Services Inc
• Avverahalli Harish MD PA
• Ngum Avwontom, FNP, CRNP
• Awaken Health Group Inc
• Zahraa M Babiker Mohammed, PHARM D
• Kasheem J Bailey
• Hillary Virginia Baker, PA-C
• Ambalavanan Balasubramanian, MD
• Harinarayan Balasubramanian, MD

• Home Health Registered Nurse in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Home Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.