NPIMap

Organization Active NPI

Isa Health Systems Inc

  • Child & Adolescent Psychiatry Physician
  • Columbia, MD
National Provider Identifier
1457640864
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0058483 Issued in MD
Legal business name
ISA HEALTH SYSTEMS INC
Practice address
8965 Guilford Rd
Suite 150
Columbia, MD 21046-2384
Phone
(410) 290-8800
Fax
(410) 290-8870
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Rajendra Lowtan, M.D.
Title
Program Director
Phone
(410) 990-1811

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X D0058483 MD
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X D0058483 MD Primary

Addresses

Primary practice location

8965 Guilford Rd
Suite 150
Columbia, MD 21046-2384

Mailing address

420 Chinquapin Round Rd
I-2
Annapolis, MD 21401-4006
Phone (410) 990-1811

Other identifiers 1

IdentifierTypeStateIssuer
403435002MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1457640864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHINQUAPIN ROUND RD",
            "address_2": "I-2",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014006",
            "telephone_number": "410-990-1811",
            "fax_number": "410-990-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 GUILFORD RD",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462384",
            "telephone_number": "410-290-8800",
            "fax_number": "410-290-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISA HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "LOWTAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-990-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0058483",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0058483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403435002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.