NPIMap

Organization Active NPI

Rafik a. Nasr, M.D., P.a.

  • Family Medicine Physician
  • Lusby, MD
National Provider Identifier
1720127103
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0037588 Issued in MD
Legal business name
RAFIK A. NASR, M.D., P.A.
Practice address
225 Town Square Dr
Suite 2
Lusby, MD 20657-6534
Phone
(410) 326-8100
Fax
(410) 414-5216
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Mr. Rafik Y. Aboul-Nasr, M.D.
Title
Physician
Phone
(410) 326-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X D0037588 MD Primary

Addresses

Primary practice location

225 Town Square Dr
Suite 2
Lusby, MD 20657-6534

Mailing address

PO Box 269
Lusby, MD 20657-0269
Phone (410) 326-8100

National Provider Directory

National Provider Directory

Locations

225 Town Square Dr
Ste 2
Lusby, MD 20657
Phone (410) 326-8100

225 Town Square Dr
Ste 1
Lusby, MD 20657

135 W Dares Beach Rd
Ste 109
Prnc Frederck, MD 20678
Phone (410) 535-1180

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1720127103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206570269",
            "telephone_number": "410-326-8100",
            "fax_number": "410-414-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 TOWN SQUARE DR",
            "address_2": "SUITE 2",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206576534",
            "telephone_number": "410-326-8100",
            "fax_number": "410-414-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIK A. NASR, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "ABOUL-NASR",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-326-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0037588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lusby, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.