Individual provider Active NPI

Aisha Hasan, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1396098505
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04886 Issued in MD
Practice address
301 Saint Paul PL
Baltimore, MD 21202-2102
Phone
(410) 332-9407
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C04886 MD Primary

Addresses

Primary practice location

301 Saint Paul PL
Baltimore, MD 21202-2102

Mailing address

743 Match Point Dr
Arnold, MD 21012-1137
Phone (443) 852-6732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121207000207 MD Practitioner - Physician Assistant 7012169592 Reassigns benefits to 3 organizations
I20150630000127 DC Practitioner - Physician Assistant 7012169592 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04886MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, PA CurrentSince Nov 1, 2019 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince May 18, 2015 Accepting new patients
WHC Emerg Phys CurrentSince Jun 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 1, 2019 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Jul 13, 2019 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince May 18, 2015 Accepting new patients
Emergency Medicine Associates, PA CurrentSince May 1, 2020 Accepting new patients
WHC Physician Group LLC CurrentSince Jun 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

610 Professional Dr
Ste 270
Gaithersburg, MD 20879
Phone (240) 808-8482

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1396098505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 MATCH POINT DR",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121137",
            "telephone_number": "443-852-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "AISHA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.