Angel Eye Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ANGEL EYE MEDICAL LLC

Practice address

1738 Elton Rd Ste 316
Silver Spring, MD 20903-1725

Phone

(443) 525-7803

NPI assigned

Mar 31, 2023

Last updated

Nov 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenderlate ArthusNPI 1043980550

Title

Owner

Phone

(443) 525-7803

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Kenderlate Arthus, NP-BC

  • Nurse Practitioner
  • Silver Spring, MD
  • NPI 1043980550

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1225733181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 CHERRY LN STE 111",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081150",
            "telephone_number": "443-525-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 ELTON RD STE 316",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031725",
            "telephone_number": "443-525-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL EYE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "ARTHUS",
        "authorized_official_first_name": "KENDERLATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-525-7803"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tadele Andye
• Anees Ahsan, M.D.
• Anesthesia Company, LLC
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• Dorothee Michele Angana Metongo, COTA
• Angel Home Therapy LLP
• Angel of Care Home Health Services LLC
• Adam L Angel, LCSW, LICSW
• Angels Garden 2 (angels garden llc)
• Delroy P Anglin, MD

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.