Anthony Makins
Individual provider Active NPI Contractor · Fort Washington, MD
NPI 1376919829 · NPPES record last updated Jul 19, 2016
Key facts
- NPI
- 1376919829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 2817 Melisa Dr
Fort Washington, MD 20744-2578 - Phone
- (301) 476-0011
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transit Professionals,LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MD | Yes |
Addresses
Primary practice location
2817 Melisa Dr
Fort Washington, MD 20744-2578
Mailing address
2817 Melisa Dr
Fort Washington, MD 20744-2578
Phone (301) 476-0011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5622 | Other | MD | PUBLIC SERVICE COMMISION |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.