Active NPI
Kevin Elliott Harper, SURGICAL ASSISTANT
- Surgical Assistant
- Clinton, MD
National Provider Identifier
1447086947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 7503 Surratts Rd
Clinton, MD 20735-3358 - Phone
- (301) 877-4380
- NPI assigned
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | MD | Primary |
Addresses
Primary practice location
7503 Surratts Rd
Clinton, MD 20735-3358
Mailing address
3343 Witten Crest CT
Alexandria, VA 22310
Phone (301) 646-5654
Other practice location 1
3343 Witten Crest CT
Alexandria, VA 22310
Phone (301) 646-5654
Other names 1
- Mr. Mohummed Zaydan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1447086947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3343 WITTEN CREST CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22310",
"telephone_number": "301-646-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7503 SURRATTS RD",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "301-877-4380"
}
],
"practiceLocations": [
{
"address_1": "3343 Witten Crest CT",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "22310",
"country_code": "US",
"telephone_number": "301-646-5654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARPER",
"first_name": "KEVIN",
"middle_name": "ELLIOTT",
"name_prefix": "Mr.",
"credential": "SURGICAL ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOHUMMED",
"last_name": "ZAYDAN",
"prefix": "MR.",
"credential": "SURGICAL ASSISTANT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Clinton, MD
- Hands of Tranquility Inc
- Helen Hannah, CRNP
- Harborside Physical Therapy and Wellness Center LLC
- Harmony Medical Transitions LLC
- Harmony Medical Transitions LLC
- Vigila Constance Harris, MD FAAP
- Nicole Shawntel Harrison
- Nina Harrison, LGSW
- Harshaw Smith Psychotherapy Services LLC.
- Emily Marie Harshaw, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.