Organization Active NPI

Cyrus Hamidi, M.D., P.a.

  • General Practice Physician
  • Sparks, MD
National Provider Identifier
1184813503
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CYRUS HAMIDI, M.D., P.A.
Practice address
913 Ridgebrook Rd
Suite 312
Sparks, MD 21152-9455
Phone
(410) 472-6560
NPI assigned
Oct 22, 2007
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Cyrus Hamidi, M.D.
Title
Managing Physician
Phone
(410) 472-6560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

913 Ridgebrook Rd
Suite 312
Sparks, MD 21152-9455

Mailing address

913 Ridgebrook Rd
Suite 312
Sparks, MD 21152-9455
Phone (410) 472-6560

Other identifiers 2

IdentifierTypeStateIssuer
377ROtherMDINDIVIDUAL MEDICARE PIN
1134102775OtherMDINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1184813503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 RIDGEBROOK RD",
            "address_2": "SUITE 312",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529455",
            "telephone_number": "410-472-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 RIDGEBROOK RD",
            "address_2": "SUITE 312",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529455",
            "telephone_number": "410-472-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRUS HAMIDI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "410-472-6560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PIN",
            "identifier": "377R",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1134102775",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.