Estn85

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ESTN85

Practice address

332 Highland Dr Apt T3
Glen Burnie, MD 21061-5988

Phone

(202) 415-7497

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Nadir Douglas

Title

Coo

Phone

(202) 415-7497

Specialties & licenses 1

Addresses

Other names 1

• estn85 medical supply Doing business as

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1316323637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HIGHLAND DR APT T3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615988",
            "telephone_number": "202-415-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HIGHLAND DR APT T3",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615988",
            "telephone_number": "202-415-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTN85",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "NADIR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "202-415-7497"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "estn85 medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Entaa Care, P.a.
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• Fer Eren, M.D.
• Adriana Espinoza, LMSW
• Comfort Esunge Penda Sone
• Ethos Health Maryland 4, LLC
• Eugene Huang D.D.S., P.a.
• Eugene Hudyma DPM PA LLC
• Eugene O Hudyma DPM

• Durable Medical Equipment & Medical Supplies in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.