Active NPI
Tele911 Maryland Emergency Medical Group PA
- Emergency Medicine Physician
- Belcamp, MD
National Provider Identifier
1184433732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- TELE911 MARYLAND EMERGENCY MEDICAL GROUP PA
- Practice address
- 4690 Millennium Dr
Belcamp, MD 21017-1523 - Phone
- (254) 835-3911
- NPI assigned
- Jan 7, 2025
- Last updated
- Feb 6, 2025
- 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
- Hanna Eadah, MD
- Title
- Medical Director
- Phone
- (254) 835-3911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
4690 Millennium Dr
Belcamp, MD 21017-1523
Mailing address
PO Box 737359
Dallas, TX 75373-7359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1184433732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 737359",
"city": "DALLAS",
"state": "TX",
"postal_code": "753737359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4690 MILLENNIUM DR",
"city": "BELCAMP",
"state": "MD",
"postal_code": "210171523",
"telephone_number": "254-835-3911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELE911 MARYLAND EMERGENCY MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-07",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "EADAH",
"authorized_official_first_name": "HANNA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "254-835-3911",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belcamp, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.