Active NPI
Heart Center at Mt.Airy
- Cardiovascular Disease Physician
- Hagerstown, MD
National Provider Identifier
1770609653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- HEART CENTER AT MT.AIRY
- Practice address
- 1219 Mount Aetna Rd
Suite 201
Hagerstown, MD 21742-6550 - Phone
- (124) 042-0082
- Fax
- (240) 420-0826
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest Kojo Amegashie, M.D.
- Title
- President
- Phone
- (240) 420-0822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1219 Mount Aetna Rd
Suite 201
Hagerstown, MD 21742-6550
Mailing address
1219 Mt. Aetna Rd
Ste 201
Hagerstown, MD 21742
Phone (240) 420-0822
Other names 1
- Cardiovascular Center of Hagerstown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1219 Mount Aetna Rd
Ste 2
Hagerstown, MD 21742
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDFCDA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Hagerstown, MD
- NPI 1881788677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1770609653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 MT. AETNA RD",
"address_2": "STE 201",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21742",
"telephone_number": "240-420-0822",
"fax_number": "240-420-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 MOUNT AETNA RD",
"address_2": "SUITE 201",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426550",
"telephone_number": "124-042-0082",
"fax_number": "240-420-0826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART CENTER AT MT.AIRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "AMEGASHIE",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "KOJO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-420-0822",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cardiovascular Center of Hagerstown",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cardiovascular Center of Hagerstown",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.