Organization Active NPI

Andrew Panagos, MD,P.C.

  • Specialist
  • Bethesda, MD
National Provider Identifier
1679753958
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D29883 Issued in MD
Legal business name
ANDREW PANAGOS, MD,P.C.
Practice address
6410 Rockledge Dr
Suite 210
Bethesda, MD 20817-1809
Phone
(301) 493-6331
Fax
(301) 493-8234
NPI assigned
Nov 5, 2007
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Andrew V Panagos, M.D.NPI 1164414231
Title
Owner
Phone
(301) 493-6331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D29883 MD Primary

Addresses

Primary practice location

6410 Rockledge Dr
Suite 210
Bethesda, MD 20817-1809

Mailing address

6410 Rockledge Dr
Suite 210
Bethesda, MD 20817-1809
Phone (301) 493-6331

Other identifiers 1

IdentifierTypeStateIssuer
1164414231OtherMDNPI INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

6410 Rockledge Dr
Ste 210
Bethesda, MD 20817
Phone (301) 493-8103

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1679753958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-493-6331",
            "fax_number": "301-493-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-493-6331",
            "fax_number": "301-493-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW PANAGOS, MD,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "PANAGOS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-493-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D29883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1164414231",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.