Wasim Fakhar, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0054580 Issued in MD

Legal business name

WASIM FAKHAR, MD, PA

Practice address

417 E Baltimore St
Suite D
Taneytown, MD 21787-2300

Phone

(410) 756-2121

Fax

(410) 756-2830

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By 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

Wasim Fakhar, M.D.NPI 1033180955

Title

Doctor

Phone

(410) 756-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Wasim Fakhar, M.D.

  • Family Medicine Physician
  • Taneytown, MD
  • NPI 1033180955
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1265734131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E BALTIMORE ST",
            "address_2": "SUITE D",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217872300",
            "telephone_number": "410-756-2121",
            "fax_number": "410-756-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E BALTIMORE ST",
            "address_2": "SUITE D",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217872300",
            "telephone_number": "410-756-2121",
            "fax_number": "410-756-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASIM FAKHAR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "FAKHAR",
        "authorized_official_first_name": "WASIM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-756-2121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0054580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827102000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sutton
• Taney Dental Associates, LLC
• Taneytown Volunteer Fire Company No 1 Incorporated
• Jason Atwood Tate, M.D.
• Walter Manley Tate, PA-C
• Jessica M Wiley, PHARMD.
• William R. Linthicum, M.D., LLC

• Specialist in Taneytown, MD
• Providers in Taneytown, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.