NPIMap

Organization Active NPI

Maryland Medical Services LLC

  • Family Medicine Physician
  • Frederick, MD
National Provider Identifier
1245521038
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARYLAND MEDICAL SERVICES LLC
Practice address
8 E 2ND St
Suite 102
Frederick, MD 21701-5345
Phone
(301) 238-5167
Fax
(301) 685-3819
NPI assigned
Apr 27, 2011
Last updated
Apr 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Mr. Ahmed H Hudhud
Title
President
Phone
(301) 238-5167

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Nephrology Physician 207RN0300X

Addresses

Primary practice location

8 E 2ND St
Suite 102
Frederick, MD 21701-5345

Mailing address

205 Center St
Suite 302
Mount Airy, MD 21771-5443
Phone (301) 238-5167

National Provider Directory

National Provider Directory
Tax ID family
Maryland Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 S Dundalk Ave
Ste 503
Dundalk, MD 21222

1090 W Patrick St
#2E
Frederick, MD 21703

8 E 2nd St
Ste 102
Frederick, MD 21701
Phone (301) 238-5167

205 Center St
Ste 302
Mount Airy, MD 21771

Practitioners & affiliated clinicians

Practitioners 2

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": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1245521038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CENTER ST",
            "address_2": "SUITE 302",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715443",
            "telephone_number": "301-238-5167",
            "fax_number": "301-685-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E 2ND ST",
            "address_2": "SUITE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015345",
            "telephone_number": "301-238-5167",
            "fax_number": "301-685-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "HUDHUD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-238-5167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.