Juan A Arrisueno, M.D., PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

B40807 Issued in MD

Practice address

12502 Willowbrook Rd
670
Cumberland, MD 21502-1873

Phone

(301) 777-5338

Fax

(301) 777-8031

NPI assigned

Aug 12, 2005

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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

• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1184769952

  Surgery

  Medicare reassignment NPD
• Juan a Arrisueno MD PA

  • Medical Specialty Clinic/Center
  • Cumberland, MD
  • NPI 1104091206
  Authorized official Same address or phone
• Upmc Western Maryland Corporation

  dba Upmc Western Maryland Center for Hope and Healing

  • Mental Illness Community Based Residential Treatment Facility
  • Cumberland, MD
  • NPI 1174141592
  NPD
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Urgent Care Clinic/Center
  • Frostburg, MD
  • NPI 1952495079
  NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764

  Surgery

  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1851393565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK ROAD",
            "address_2": "SUITE 670",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021876",
            "telephone_number": "301-777-5338",
            "fax_number": "301-777-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "address_2": "670",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021873",
            "telephone_number": "301-777-5338",
            "fax_number": "301-777-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRISUENO",
        "first_name": "JUAN",
        "middle_name": "A",
        "credential": "M.D., PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "B40807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342981400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeremy R Armentrout, PHARMD
• ASC Development Company, LLC
• Sheba Asghar, M.D.
• Kheder Ashker, M.D.
• Asi Health Inc.
• Aspen Wellness Center, LLC

• Surgery Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.