Fady a. Sinno,M.D. Plastic and Reconstructive Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D35889 Issued in MD

Legal business name

FADY A. SINNO,M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, LLC

Practice address

5300 Dorsey Hall Dr
Suite 102
Ellicott City, MD 21042-7791

Phone

(410) 884-4200

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FADY A SINNO, M.D.As reported in NPPES

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

Authorized official

Name

Dr. Fady Sinno, MDNPI 1215006994

Title

Physician

Phone

(410) 884-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Part of

Fady a Sinnomd Plastic and Reconstructive Surgery LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fady Sinno, M.D.

  • Plastic Surgery Physician
  • Ellicott City, MD
  • NPI 1215006994
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1164978839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR",
            "address_2": "SUITE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427791",
            "telephone_number": "410-884-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 DORSEY HALL DR",
            "address_2": "SUITE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427791",
            "telephone_number": "410-884-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADY A. SINNO,M.D. PLASTIC AND RECONSTRUCTIVE SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FADY A SINNO, M.D.",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "SINNO",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-884-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D35889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502900700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.