Decalo Medical Group, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

DECALO MEDICAL GROUP, LLC

Practice address

6196 Oxon Hill Rd
Suite 210
Oxon Hill, MD 20745-3100

Phone

(301) 567-2557

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

John K Aziz, MD

Title

Ceo

Phone

(301) 567-2557

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Consuelo Delores Fernandez, MD

  • Pain Medicine (Anesthesiology) Physician
  • Oxon Hill, MD
  • NPI 1407367055
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1285180448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD",
            "address_2": "SUITE 210",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453100",
            "telephone_number": "301-567-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD",
            "address_2": "SUITE 210",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453100",
            "telephone_number": "301-567-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECALO MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-567-2557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosario Dancel, MD
• Ashlei Davis
• Royace V. Davis, D.D.S
• Eric Geoffrey Dawson, M.D.
• Bridget Dean
• Cherry Delahay, CRNP-PMH
• Linnie Aragon Delmonte, MD
• Dental Glitters LLC
• Dental One Associates Oxon Hill PC
• Dentistry for Children of Maryland, LLC

• Pain Medicine (Anesthesiology) Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Pain Medicine (Anesthesiology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.