Organization Active NPI

Nasseri Clinic of Arthritic & Rheumatic Diseases LLC

  • Rheumatology Physician
  • Glen Burnie, MD
National Provider Identifier
1407289697
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES LLC
Practice address
203 Hospital Dr Ste 300
Glen Burnie, MD 21061-6906
Phone
(410) 744-0661
Fax
(410) 744-8036
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Samantha Mihm
Title
Credentialing Specialist
Phone
(410) 744-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

203 Hospital Dr Ste 300
Glen Burnie, MD 21061-6906

Mailing address

700 Geipe Rd Ste 200
Catonsville, MD 21228-4176
Phone (410) 744-0661

National Provider Directory

National Provider Directory

Locations

203 Hospital Dr
Ste 300
Glen Burnie, MD 21061
Phone (410) 766-4111

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1407289697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD STE 200",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284176",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR STE 300",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616906",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MIHM",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "410-744-0661"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.