Seyoum Bereket Michael, RRT

Primary specialty

Geriatric Care Certified Respiratory TherapistTaxonomy code 2278G0305X

License

L0002240 Issued in MD

Practice address

7300 Van Dusen Rd
Laurel, MD 20707-9463

Phone

(301) 497-7920

NPI assigned

May 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1386080455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW",
            "address_2": "ATTN: RESPIRATORY THERAPY",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "204220001",
            "telephone_number": "202-745-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "301-497-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "SEYOUM",
        "middle_name": "BEREKET",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Geriatric Care",
            "state": "MD",
            "license": "L0002240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Mickey
• Mid-Atlantic Medical
• Midatlantic Sleep Disorder Center LLC
• Miles of Smiles Dental Associates

• Certified Respiratory Therapist in Laurel, MD
• Providers in Laurel, MD by specialty
• Certified Respiratory Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.