Dr. Maria Yiassemides, P.a.
Organization Active NPI Chiropractor · Phoenix, MD
NPI 1821369935 · NPPES record last updated Jan 20, 2012
Key facts
- NPI
- 1821369935
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- S01553 (MD)
- Legal business name
- DR. MARIA YIASSEMIDES, P.A.
- Practice address
- 3421 Sweet Air Rd
Suite 5
Phoenix, MD 21131-1812 - Phone
- (410) 628-0010
- Fax
- (410) 628-4837
- NPI assigned
- Jan 20, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Maria Yiassemides, D.C.
- Title
- Chiropractor
- Phone
- (410) 628-0010
Practitioners 1
-
Maria Yiassemides, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120605000014 | MD | Part B Supplier - Clinic/Group Practice | 2860656832 |
Receives reassigned benefits from 1 practitioner Practice locations: Phoenix, MD |
National Provider Directory
Locations
3421 Sweet Air Rd
Ste 5
Phoenix, MD 21131
Phone (410) 628-0010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | S01553 | MD | Yes |
Addresses
Primary practice location
3421 Sweet Air Rd
Suite 5
Phoenix, MD 21131-1812
Mailing address
3421 Sweet Air Rd
Suite 5
Phoenix, MD 21131-1812
Phone (410) 628-0010
Other providers in Phoenix, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.