Organization Active NPI

Mouhamad O. Annous, MD PA

  • Vascular Surgery Physician
  • Towson, MD
National Provider Identifier
1164610317
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0023427 Issued in MD
Legal business name
MOUHAMAD O. ANNOUS, MD PA
Practice address
7801 York Rd Ste 240
Towson, MD 21204
Phone
(410) 323-9214
Fax
(410) 323-9215
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Mouhamad O. Annous, MD
Title
President
Phone
(410) 323-9214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X D0023427 MD Primary

Addresses

Primary practice location

7801 York Rd Ste 240
Towson, MD 21204

Mailing address

7801 York Rd Ste 240
Towson, MD 21204-7446
Phone (410) 323-9214

Other identifiers 2

IdentifierTypeStateIssuer
129241200MedicaidMD
KEP5/35191001OtherMDBLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1164610317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 240",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047446",
            "telephone_number": "410-323-9214",
            "fax_number": "410-323-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 240",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-323-9214",
            "fax_number": "410-323-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUHAMAD O. ANNOUS, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "ANNOUS",
        "authorized_official_first_name": "MOUHAMAD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-323-9214",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0023427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129241200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "KEP5/35191001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.