Active NPI
Pamela Miranda Mahoney, AGNP
- Nurse Practitioner
- Hanover, MD
National Provider Identifier
1346763422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AC002054
- Practice address
- 7556 Teague Rd Ste 112
Hanover, MD 21076-1969 - Phone
- (410) 595-0182
- Fax
- (410) 595-0182
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AC002054 | MD | Primary |
Addresses
Primary practice location
7556 Teague Rd Ste 112
Hanover, MD 21076-1969
Mailing address
7556 Teague Rd Ste 112
Hanover, MD 21076-1969
Phone (410) 595-0182
Other names 1
- Pamela Miranda Mahoney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC002054 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346763422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7556 TEAGUE RD STE 112",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761969",
"telephone_number": "410-595-0182",
"fax_number": "410-595-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7556 TEAGUE RD STE 112",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761969",
"telephone_number": "410-595-0182",
"fax_number": "410-595-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "PAMELA",
"middle_name": "MIRANDA",
"credential": "AGNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "AC002054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "MAHONEY",
"middle_name": "MIRANDA",
"credential": "AGNP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.