Weightloss & Sleep Disorder Center of Maryland LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

H0083539 Issued in MD

Legal business name

WEIGHTLOSS & SLEEP DISORDER CENTER OF MARYLAND LLC

Practice address

1110 Opal CT Ste 4&5
Hagerstown, MD 21740-5942

Phone

(301) 745-6392

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Jawad Miran, DONPI 1700824125

Title

Member

Phone

(516) 810-4496

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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.

• Mohammad Miran, D.O.

  • Sleep Medicine (Internal Medicine) Physician
  • Hagerstown, MD
  • NPI 1700824125
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1245743202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 TWIN PEAKS CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 OPAL CT STE 4&5",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405942",
            "telephone_number": "301-745-6392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 Middlebrook Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208745204",
            "country_code": "US",
            "telephone_number": "516-810-4496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Howell Rd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406638",
            "country_code": "US",
            "telephone_number": "516-810-4496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEIGHTLOSS & SLEEP DISORDER CENTER OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "MIRAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "JAWAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-810-4496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "H0083539",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MD",
            "license": "H0083539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098990",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary V Weber, PA-C
• Jason Weddle, ATC,, LAT
• Singiti Weerasuriya
• Nicole Denise Wegner, C.R.N.P.
• Gary Weidman, LCSW-C
• Kara Weikert
• Daniel J Weinberg, M.D.
• Weis Markets Inc (Weis Pharmacy)
• Weis Markets Inc (Weis Pharmacy)
• Stephanie Weisgerber, PTA

• Primary Care Clinic/Center in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.