Specialist Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0061865 Issued in MD

Legal business name

SPECIALIST FAMILY MEDICINE

Practice address

7001 Johnnycake Rd
Suite 106
Windsor Mill, MD 21244-2418

Phone

(410) 744-8111

Fax

(410) 744-8110

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yasmeen Ghias Ahmed, M.D.NPI 1275559445

Title

President

Phone

(410) 744-8111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yasmeen Ghias Ahmed, MD

  • Family Medicine Physician
  • Windsor Mill, MD
  • NPI 1275559445
  Authorized official Same address or phone

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366517997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD",
            "address_2": "SUITE 106",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442418",
            "telephone_number": "410-744-8111",
            "fax_number": "410-744-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD",
            "address_2": "SUITE 106",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442418",
            "telephone_number": "410-744-8111",
            "fax_number": "410-744-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "YASMEEN",
        "authorized_official_middle_name": "GHIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-744-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Travon Singleton, D.P.T.
• Kalyx Solomon
• Brendaline Sop
• Gretchen Gisella Soto, L.P.C.
• Sound Mental Health Psychiatric
• Carliqua Spencer, PMHNP-BC
• St. Augustine Health System Inc (St. Augustine Maternal Support Services)
• St. Augustine Health System Inc
• St. Augustine Nursing Services LLC
• St. Augustine Transitional Home

• Family Medicine Physician in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.