Organization Active NPI

Lameh Fananapazir MD PA

  • Specialist
  • Cumberland, MD
National Provider Identifier
1154580298
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D39832 Issued in MD
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

Updated by the provider on Jun 14, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3810015493MedicaidWV
408906500MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.