The Bariatric and Hernia Institute, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0073377 Issued in MD

Legal business name

THE BARIATRIC AND HERNIA INSTITUTE, PC

Practice address

12150 Annapolis Rd
Suite 309
Glenn Dale, MD 20769-9183

Phone

(240) 206-8506

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Etwar H McBeanNPI 1730383498

Title

Owner/Provider

Phone

(240) 206-8506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Etwar H McBean, M.D.

  • Surgery Physician
  • Greenbelt, MD
  • NPI 1730383498

  DC

  Medicare reassignment NPD Authorized official
• Katherine Manuel, RD, LD

  • Registered Dietitian
  • Washington, DC
  • NPI 1992103535
  NPD

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1134536154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "SUITE 309",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "240-206-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "SUITE 309",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "240-206-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARIATRIC AND HERNIA INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "MCBEAN",
        "authorized_official_first_name": "ETWAR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "240-206-8506"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0073377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Temban Temban
• Erick Tendong
• Claude Tewan Tendo
• Mokom Thaddeus Fon
• Alisa Thavikulwat
• The Haven Homecare LLC
• The Podiatry Care Center, LLC
• Craig Michael Thomas, M.D.
• Barry Eugene Thompson, PA-C
• Nyeto Tiku

• Surgery Physician in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.