Active NPI
John P. Hakim, MD and Associates
- Cardiovascular Disease Physician
- Clinton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D47748
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407211100 | Medicaid | MD | |
| 01010324009 | Medicaid | VA | |
| 03770330 | Medicaid | DC | |
| 159626 | Other | MEDICARE PTAN |
National Provider Directory
National Provider Directory- Tax ID family
- John P Hakim MD and Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Prince Frederick, MD
- NPI 1043447576
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.
-
- Cardiovascular Disease Physician
- Clinton, MD
- NPI 1730137688
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.