Efrahim Antonio Fernandez

Primary specialty

SpecialistTaxonomy code 174400000X

License

20501 Issued in MD

Practice address

10120 Baltimore National Pike
Ellicott City, MD 21042-3614

Phone

(410) 730-3399

NPI assigned

Mar 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Howard University College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Centennial Medical Group, PA

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1134235039
  Medicare reassignment Care Compare group NPD
• Centennial Medical Group, PA

  • General Practice Physician
  • Gambrills, MD
  • NPI 1306477849
  NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Clarksville, MD
  • NPI 1336918275
  NPD
• Eaman Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Germantown, MD
  • NPI 1801122916
  NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Laurel, MD
  • NPI 1841680766
  NPD

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1942886908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 OLD DOBBIN LN STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455884",
            "telephone_number": "410-730-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423614",
            "telephone_number": "410-730-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6250 Old Dobbin Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210455816",
            "country_code": "US",
            "telephone_number": "410-730-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10981 Johns Hopkins Rd",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207236002",
            "country_code": "US",
            "telephone_number": "410-730-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "EFRAHIM",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-21",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "20501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Fenton, LGPC
• Jannatul Ferdous, PTA
• Benjamin John Ferguson II, MA, LCPC
• Jennifer Ferguson, DPT
• Eden Fernandez, PA-C
• Jesse Fernandez, DPT
• Gregory Christopher Fernandopulle, MD
• Olorunkemi Ajoke Feyisola
• Fielding Psychological Associates, P.C.
• Eric Daniel Poey Fielding, PH.D.

• Specialist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.