Organization Active NPI

Astera Medical Clinic LLC

  • Family Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1306504550
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ASTERA MEDICAL CLINIC LLC
Doing business as
hans formum enow
Practice address
7725 Belle Point Dr # 2
Greenbelt, MD 20770-3300
Phone
(240) 755-1953
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Mr. Hans Formum Frank Enow, CRNP
Title
NP/Provider
Phone
(240) 755-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

7725 Belle Point Dr # 2
Greenbelt, MD 20770-3300

Mailing address

8320 Finchleigh St
Laurel, MD 20724-1973
Phone (124) 075-5195

Other names 1

  • hans formum enow Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.asteramedical.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

7725 Belle Point Dr
#2
Greenbelt, MD 20770
Phone (240) 755-1953

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1306504550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 FINCHLEIGH ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241973",
            "telephone_number": "124-075-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 BELLE POINT DR # 2",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703300",
            "telephone_number": "240-755-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTERA MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "ENOW",
        "authorized_official_first_name": "HANS FORMUM",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "NP/PROVIDER",
        "authorized_official_telephone_number": "240-755-1953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.asteramedical.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7725 Belle Point Dr # 2",
            "city": "Greenbelt",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207703300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "hans formum enow",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "hans formum enow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.