Ajm Professional Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OH35-07-1617 Issued in OH

Legal business name

AJM PROFESSIONAL SERVICES, LLC

Doing business as

Anna Maddali, MD.

Practice address

10663 Loveland Madeira Rd
Suite-279
Loveland, OH 45140-8965

Phone

(513) 244-8866

NPI assigned

Oct 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Anna J Maddali, MD.

Title

President

Phone

(513) 244-8866

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anna Maddali, MD. Doing business as

Locations

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1770868440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10663 LOVELAND MADEIRA RD",
            "address_2": "SUITE-279",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408965",
            "telephone_number": "513-244-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10663 LOVELAND MADEIRA RD",
            "address_2": "SUITE-279",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408965",
            "telephone_number": "513-244-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJM PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-244-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH35-07-1617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna Maddali, MD.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Addison Adams
• Sarah R Adams, PTA
• Shanza Adhami, PA-C
• Advanced Geriatric Education & Consulting,LLC
• Promise Agwamba
• Randy Scott Allman, LISW-S
• Mary F Alten, L.P.T.A.
• American Medical Supply of Loveland Inc.
• Emily Anderson
• Ashleigh Andrews, RN

• Family Medicine Physician in Loveland, OH
• Providers in Loveland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.