Mid Atlantic Addiction Medicine

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

Legal business name

MID ATLANTIC ADDICTION MEDICINE

Practice address

1110 Benfield Blvd
Suite J
Millersville, MD 21108-2639

Phone

(410) 923-1382

NPI assigned

Aug 5, 2014

Last updated

Aug 5, 2014By 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

Ehsan Abdeshahian, MDNPI 1871844720

Title

President

Phone

(405) 306-0384

Specialties & licenses 1

Addresses

Tax ID family

Mid Atlantic Addiction Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-Atlantic Addiction Medicine LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Millersville, MD
  • NPI 1225583123
  NPD tax ID

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.

• Ehsan Abdeshahian, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1871844720
  Authorized official Same address or phone

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1396154290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 MADISON ST",
            "address_2": "APT 314",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223146409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD",
            "address_2": "SUITE J",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082639",
            "telephone_number": "410-923-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC ADDICTION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "ABDESHAHIAN",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-306-0384",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimloan Merchant, NP
• Sandra Merrill, M.S., CCC-SLP
• Guy Merritt IV, L.C.P.C
• Haleigh Mae Meyers
• Matthew Meyers, DDS
• Mid-Atlantic Addiction Medicine LLC
• Mid-Atlantic Rheumatology
• Rebecca Joann Middleton, M.D.
• Rachel Grabill Midwinter, PA
• Millennium 25 Group LLC

• Anesthesiology Physician in Millersville, MD
• Providers in Millersville, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.