Active NPI
Lameh Fananapazir MD PA
- Specialist
- Cumberland, MD
National Provider Identifier
1154580298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D39832
- Legal business name
- LAMEH FANANAPAZIR MD PA
- Practice address
- 12502 Willowbrook Road
Suite 420
Cumberland, MD 21502-6567 - Phone
- (301) 777-1997
- Fax
- (301) 784-1759
- NPI assigned
- Jun 4, 2008
- 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
- Lameh Fananapazir, M.D.
- Title
- President
- Phone
- (301) 777-1997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D39832 | MD | Primary |
Addresses
Primary practice location
12502 Willowbrook Road
Suite 420
Cumberland, MD 21502-6567
Mailing address
12502 Willowbrook Rd
Suite 420
Cumberland, MD 21502-6567
Phone (301) 777-1997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810015493 | Medicaid | WV | |
| 408906500 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
500 Memorial Ave
Cumberland, MD 21502
Phone (301) 723-3780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1750383709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276473600000",
"number": "1154580298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12502 WILLOWBROOK RD",
"address_2": "SUITE 420",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026567",
"telephone_number": "301-777-1997",
"fax_number": "301-784-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12502 WILLOWBROOK ROAD",
"address_2": "SUITE 420",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026567",
"telephone_number": "301-777-1997",
"fax_number": "301-784-1759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAMEH FANANAPAZIR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-04",
"last_updated": "2010-06-14",
"status": "A",
"authorized_official_last_name": "FANANAPAZIR",
"authorized_official_first_name": "LAMEH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-777-1997",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D39832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810015493",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408906500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.