Organization Active NPI

Ieon L.O. Dawson

Doing business as Heart Masters Medical Center

  • Cardiovascular Disease Physician
  • Gambrills, MD
National Provider Identifier
1366615304
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
IEON L.O. DAWSON
Doing business as
Heart Masters Medical Center
Practice address
7700 Old Branch Ave
Suite B205
Gambrills, MD 21054-1935
Phone
(202) 669-5821
Fax
(410) 721-4488
NPI assigned
Apr 10, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Ms. Carline Pamella Dawson
Title
Business Manager
Phone
(202) 669-5821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

7700 Old Branch Ave
Suite B205
Gambrills, MD 21054-1935

Mailing address

1257 Gerstner CT
Gambrills, MD 21054-1935
Phone (202) 669-5821

Other identifiers 1

IdentifierTypeStateIssuer
017174700MedicaidDC

Other names 1

  • Heart Masters Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1366615304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 GERSTNER CT",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541935",
            "telephone_number": "202-669-5821",
            "fax_number": "410-721-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "SUITE B205",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541935",
            "telephone_number": "202-669-5821",
            "fax_number": "410-721-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IEON L.O. DAWSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "CARLINE",
        "authorized_official_middle_name": "PAMELLA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "202-669-5821",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017174700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Masters Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.