Organization Active NPI

John P. Hakim, MD and Associates

  • Cardiovascular Disease Physician
  • Clinton, MD
National Provider Identifier
1356739098
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D47748 Issued in MD
Legal business name
JOHN P. HAKIM, MD AND ASSOCIATES
Practice address
7700 Old Branch Ave
Suite E105
Clinton, MD 20735-1628
Phone
(301) 856-5444
Fax
(301) 856-5454
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. John Pierre Hakim, M.D.NPI 1730137688
Title
Physcian
Phone
(443) 880-5146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X D47748 MD Primary

Addresses

Primary practice location

7700 Old Branch Ave
Suite E105
Clinton, MD 20735-1628

Mailing address

3195 Lacrosse CT
Dunkirk, MD 20754-2926
Phone (443) 880-5146

Other identifiers 4

IdentifierTypeStateIssuer
407211100MedicaidMD
01010324009MedicaidVA
03770330MedicaidDC
159626OtherMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
John P Hakim MD and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7700 Old Branch Ave
Ste E105
Clinton, MD 20735
Phone (301) 856-5444

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1356739098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 LACROSSE CT",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542926",
            "telephone_number": "443-880-5146",
            "fax_number": "301-856-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "SUITE E105",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351628",
            "telephone_number": "301-856-5444",
            "fax_number": "301-856-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. HAKIM, MD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PIERRE",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "443-880-5146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D47748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407211100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01010324009",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03770330",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "159626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.