Organization Active NPI

Issam Daya MD PA

  • Obstetrics & Gynecology Physician
  • Towson, MD
National Provider Identifier
1740519479
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0033938 Issued in MD
Legal business name
ISSAM DAYA MD PA
Practice address
8601 La Salle Rd
Suite 102
Towson, MD 21286-2004
Phone
(410) 825-6778
Fax
(410) 825-2744
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Issam Afif Daya, M.D.
Title
President
Phone
(410) 825-6778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X D0033938 MD Primary

Addresses

Primary practice location

8601 La Salle Rd
Suite 102
Towson, MD 21286-2004

Mailing address

8601 La Salle Rd
Suite 102
Towson, MD 21286-2004
Phone (410) 825-6778

Other identifiers 4

IdentifierTypeStateIssuer
T854-0001OtherDCCAREFIRST
DQ0837OtherGARAILROAD MEDICARE
T854-0001OtherMDCAREFIRST
166388OtherMDMEDICARE

National Provider Directory

National Provider Directory

Locations

8601 La Salle Rd
Ste 102
Towson, MD 21286
Phone (410) 825-6778

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1740519479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 LA SALLE RD",
            "address_2": "SUITE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862004",
            "telephone_number": "410-825-6778",
            "fax_number": "410-825-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 LA SALLE RD",
            "address_2": "SUITE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862004",
            "telephone_number": "410-825-6778",
            "fax_number": "410-825-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAM DAYA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "DAYA",
        "authorized_official_first_name": "ISSAM",
        "authorized_official_middle_name": "AFIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-825-6778",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0033938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "T854-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ0837",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "T854-0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "166388",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.