Innovative Speciality Health Care

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

INNOVATIVE SPECIALITY HEALTH CARE

Practice address

18566 Office Park Drive
Montgomery Village, MD 20886-0586

Phone

(240) 364-4401

Fax

(301) 789-6650

NPI assigned

Jul 8, 2020

Last updated

Jul 8, 2020By 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

Baqar A Naqvi

Title

President

Phone

(240) 364-4401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1265050090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 BRANSFORD PLACE",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "240-364-4401",
            "fax_number": "301-769-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18566 OFFICE PARK DRIVE",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208860586",
            "telephone_number": "240-364-4401",
            "fax_number": "301-789-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SPECIALITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "BAQAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-364-4401"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choon Ok Hong, PMHNP
• Hope Psych Services LLC
• John Lawrence Hudak, PH.D.
• Human Element Nutrition LLC
• I Heal Wounds
• Internal Medicine Asociates of Montgomery Village
• Pamela F. Italia, P.T.
• Veronica Jacques Metzger, LCSW
• James M Ryan
• Janice D Johnson, MD

• Cardiovascular Disease Physician in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.