Organization Active NPI

Heart Center at Mt.Airy

  • Cardiovascular Disease Physician
  • Hagerstown, MD
National Provider Identifier
1770609653
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Ernest Kojo Amegashie, M.D.NPI 1881788677
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070726000719 MD Part B Supplier - Clinic/Group Practice 0941301568 Receives reassigned benefits from 1 practitioner
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

1219 Mount Aetna Rd
Ste 2
Hagerstown, MD 21742

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.