Active NPI
Hailemichael Aschenaki Azerefegn, PA
- Physician Assistant
- Silver Spring, MD
National Provider Identifier
1750714036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C05016
- Practice address
- 3650 Bel Pre Rd
24
Silver Spring, MD 20906-2670 - Phone
- (301) 281-5193
- NPI assigned
- Aug 9, 2013
- Last updated
- Aug 9, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C05016 | MD | Primary |
Addresses
Primary practice location
3650 Bel Pre Rd
24
Silver Spring, MD 20906-2670
Mailing address
3650 Bel Pre Rd
24
Silver Spring, MD 20906-2670
Phone (301) 281-5193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1750714036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 BEL PRE RD",
"address_2": "24",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062670",
"telephone_number": "301-281-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 BEL PRE RD",
"address_2": "24",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062670",
"telephone_number": "301-281-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZEREFEGN",
"first_name": "HAILEMICHAEL",
"middle_name": "ASCHENAKI",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-09",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C05016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.