NPIMap

Organization Active NPI

Progressive Oncology and Hematology Center LLC

  • Hematology & Oncology Physician
  • Frederick, MD
National Provider Identifier
1578959615
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
PROGRESSIVE ONCOLOGY AND HEMATOLOGY CENTER LLC
Doing business as
Progressive Oncology and Hematology Center LLC
Practice address
2405 Whittier Dr Unit 100
Frederick, MD 21702-3361
Phone
(301) 682-2988
Fax
(301) 682-2989
NPI assigned
Apr 14, 2015
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Mouhamad Bazzi, M.D.NPI 1265619878
Title
Owner
Phone
(301) 682-2988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

2405 Whittier Dr Unit 100
Frederick, MD 21702-3361

Mailing address

2405 Whittier Dr Unit 100
Frederick, MD 21702-3361
Phone (016) 822-9883

Other names 1

  • Progressive Oncology and Hematology Center LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150526000518 MD Part B Supplier - Clinic/Group Practice 6103146618 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1578959615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 WHITTIER DR UNIT 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023361",
            "telephone_number": "016-822-9883",
            "fax_number": "301-682-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 WHITTIER DR UNIT 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023361",
            "telephone_number": "301-682-2988",
            "fax_number": "301-682-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ONCOLOGY AND HEMATOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "BAZZI",
        "authorized_official_first_name": "MOUHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-682-2988",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Oncology and Hematology Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Oncology and Hematology Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.