Maryan Mohamed Salim

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

0018483 Issued in WI

Practice address

1122 Gammon LN
Madison, WI 53719-2211

Phone

(504) 270-2294

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Lancaster Afh LLC

  • In Home Supportive Care Agency
  • Madison, WI
  • NPI 1952010811
  NPD Authorized official

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1154030252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 GAMMON LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192211",
            "telephone_number": "504-270-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 GAMMON LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192211",
            "telephone_number": "504-270-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIM",
        "first_name": "MARYAN",
        "middle_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "0018483",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "WI",
            "license": "0018483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa E.P. Salazar, LPC-IT
• Amber Saleemi, PA-C
• Akrum Saleh, MD
• Danish Saleh
• Takwa Yasser Salah Salem
• Muqaddam Salim, MD
• Robert J Salinger, MD
• Elizabeth Marie Salisbury Afshar, M.D., MPH
• Lonie R Salkowski, MD
• Qiana Sallah, RN

• Attendant Care Provider in Madison, WI
• Providers in Madison, WI by specialty
• Attendant Care Provider in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.