Individual provider Active NPI

Dodzi Bell-Dzide, PA-C

  • Physician Assistant
  • Westminster, MD
National Provider Identifier
1689922700
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004720 Issued in MD
Practice address
826 Washington Rd
Suite 112
Westminster, MD 21157-5750
Phone
(443) 693-7246
Fax
(443) 605-3655
NPI assigned
Aug 21, 2012
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004720 MD Primary

Addresses

Primary practice location

826 Washington Rd
Suite 112
Westminster, MD 21157-5750

Mailing address

7920 McDonogh Rd
Suite 201
Owings Mills, MD 21117-5273
Phone (443) 693-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121114000203 MD Practitioner - Physician Assistant 4688825953 Reassigns benefits to 2 organizations
I20190710001345 DC Practitioner - Physician Assistant 4688825953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

810 Bestgate Rd
Suite 220
Annapolis, MD 21401-3648
Phone (410) 571-2946

826 Washington Rd
Westminster, MD 21157-5780
Phone (410) 571-2946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004720MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC CurrentSince Sep 14, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Physician Assistant CurrentSince Sep 14, 2017 Accepting new patients
Johns Hopkins University CurrentSince Nov 12, 2012 Accepting new patients
Johns Hopkins University CurrentSince Nov 12, 2012 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

826 Washington Rd
Ste 210
Westminster, MD 21157
Phone (410) 346-5163

Interoperability endpoints

  • Direct secure messaging: dodzi.bell-dzide.1@11679.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1689922700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MCDONOGH RD",
            "address_2": "SUITE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175273",
            "telephone_number": "443-693-7246",
            "fax_number": "866-902-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD",
            "address_2": "SUITE 112",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575750",
            "telephone_number": "443-693-7246",
            "fax_number": "443-605-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL-DZIDE",
        "first_name": "DODZI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.