Active NPI
Mazin Merdad
- Otolaryngology Physician
- Baltimore, MD
National Provider Identifier
1629482492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 999999
- Practice address
- 601 N Caroline St
Johns Hopkins Outpatient Center
Baltimore, MD 21287-0006 - Phone
- (410) 955-6420
- NPI assigned
- Jun 19, 2014
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 999999 | MD | Primary |
Addresses
Primary practice location
601 N Caroline St
Johns Hopkins Outpatient Center
Baltimore, MD 21287-0006
Mailing address
35 Hayden St
Apt 2802
Toronto, ON M4Y3C3
CA
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 999999 | MD | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1629482492",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "35 HAYDEN ST",
"address_2": "APT 2802",
"city": "TORONTO",
"state": "ON",
"postal_code": "M4Y3C3"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N CAROLINE ST",
"address_2": "JOHNS HOPKINS OUTPATIENT CENTER",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870006",
"telephone_number": "410-955-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERDAD",
"first_name": "MAZIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "999999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Mercy Medical Center, Inc.
- Mercy Medical Center, Inc. (Mercy Medical Center Outpatient Pharmacy)
- Mercy Mental Healthcare Services, Inc
- Mercy Transitional Care Services
- Mercy Villa Convent, Inc.
- Brooke Meredith
- David Buscher Meredith, MAC, DAC,DIPLAC, LAC
- James B Meredith, PHD
- Lesley D Meredith
- Rebecca Meredith, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.