Nelson C Echebiri, M.D, MBA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D80259 Issued in MD

Practice address

26005 Ridge Rd Ste 200
Damascus, MD 20872-1899

Phone

(301) 414-2300

Fax

(301) 414-2306

NPI assigned

Apr 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1780973305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206951100",
            "telephone_number": "240-252-2140",
            "fax_number": "240-252-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD STE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721899",
            "telephone_number": "301-414-2300",
            "fax_number": "301-414-2306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11110 Medical Campus Rd",
            "address_2": "Suite 249",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426700",
            "country_code": "US",
            "telephone_number": "301-714-4100",
            "fax_number": "301-714-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHEBIRI",
        "first_name": "NELSON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101258139",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "28572",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D80259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871103800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damascus Vision Partners, LLC
• Joy Dangerfield
• Christine Deslauriers, CRNP-PMH
• Frayda Diamond, RNC, CNM, MPH
• Dr. Benjamin F. Papoi, P.C.
• Doreen Efeti Effange
• Eldercare of Damascus
• Mary Pamela Ferinde
• Rebecca Fero, LCSW-C
• Alan Richard Figelman, M.D.

• Obstetrics & Gynecology Physician in Damascus, MD
• Providers in Damascus, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.