Arzadon Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0059847 Issued in MD

Legal business name

ARZADON FAMILY PRACTICE PA

Doing business as

Village Sq. Family Medicine

Practice address

11042 Nicholas LN
Unit B102
Berlin, MD 21811-3299

Phone

(443) 523-0601

Fax

(410) 973-1453

NPI assigned

Jan 23, 2013

Last updated

Jan 23, 2013By 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

Melissa D Arzadon, M.D.NPI 1346239852

Title

Sole Proprietor/Provider

Phone

(443) 523-0601

Specialties & licenses 1

Addresses

Other names 1

• Village Sq. Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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.

• Melissa Arzadon, M.D.

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1346239852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1447598602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218115340",
            "telephone_number": "443-523-0601",
            "fax_number": "410-973-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 NICHOLAS LN",
            "address_2": "UNIT B102",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113299",
            "telephone_number": "443-523-0601",
            "fax_number": "410-973-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARZADON FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "ARZADON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/PROVIDER",
        "authorized_official_telephone_number": "443-523-0601",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0059847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Sq. Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Berlin, MD
• Providers in Berlin, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.