Active NPI
Astera Medical Clinic LLC
- Family Nurse Practitioner
- Greenbelt, MD
National Provider Identifier
1306504550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.asteramedical.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.