Bashar Pharoan MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0019637 Issued in MD

Legal business name

BASHAR PHAROAN MD PA

Practice address

4744 Ridge Rd
Ridge Medical Center
Nottingham, MD 21236-3818

Phone

(410) 661-9300

Fax

(443) 213-1441

NPI assigned

Jul 13, 2010

Last updated

Jul 13, 2010By 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

Dr. Bashar Pharoan, M.D.NPI 1285738633

Title

Owner

Phone

(410) 661-9300

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Bashar Pharoan, MD

  • Specialist
  • Baltimore, MD
  • NPI 1285738633
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1497067847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 RIDGE RD",
            "address_2": "RIDGE MEDICAL CENTER",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363818",
            "telephone_number": "410-661-9300",
            "fax_number": "443-213-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 RIDGE RD",
            "address_2": "RIDGE MEDICAL CENTER",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363818",
            "telephone_number": "410-661-9300",
            "fax_number": "443-213-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHAR PHAROAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "PHAROAN",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-661-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0019637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "975311700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Mitchell Barbush, O.D.
• Jade Bardroff
• Sydni Barnes
• Jennifer Marie Barr, RDN, LDN
• Sarah Jane Bartlett
• Benjamin J Bass, COMS
• Susan Anne Bates, D.C.
• Lauren Batlas, MS, OTR/L
• Jazmin Baxter
• Charlene Beasley

• Specialist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.