Southside Medical Care LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

D0064352 Issued in MD

Legal business name

SOUTHSIDE MEDICAL CARE LLC

Practice address

102 Williamsport Cir
Salisbury, MD 21804-6400

Phone

(443) 978-7028

Fax

(443) 944-9023

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nasima Neelofer Jaffery, M.D.

Title

Medical Provider

Phone

(443) 978-7028

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1437698552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WILLIAMSPORT CIR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046400",
            "telephone_number": "443-978-7028",
            "fax_number": "443-944-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WILLIAMSPORT CIR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046400",
            "telephone_number": "443-978-7028",
            "fax_number": "443-944-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "JAFFERY",
        "authorized_official_first_name": "NASIMA",
        "authorized_official_middle_name": "NEELOFER",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "443-978-7028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0080104",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0064352",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0064352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W. Snyder, D.D.S.
• Shahabuddin Soherwardi, MD
• Cassidy Bret Soistman, LCSW-C
• Lori A Soley, CRNP MS
• Sophia Sonen, LCADC
• Michael Spack, PA
• Christine Speicher
• Jeffrey Vahan Spencer, MD
• Gwynn D Sperandeo
• Clare Spillane, LCSW-C

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.