Organization Active NPI

Neurology Consultant, P.a.

  • Specialist
  • Hagerstown, MD
National Provider Identifier
1962620690
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0055626 Issued in MD
Legal business name
NEUROLOGY CONSULTANT, P.A.
Practice address
235 Mill St
Suite 1
Hagerstown, MD 21740-6114
Phone
(301) 739-5959
Fax
(301) 739-2403
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Mrs. Samina Anwar, MDNPI 1902880560
Title
Doctor
Phone
(301) 739-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0055626 MD Primary
Electrodiagnostic Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204R00000X
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

235 Mill St
Suite 1
Hagerstown, MD 21740-6114

Mailing address

235 Mill St
Suite 1
Hagerstown, MD 21740-6114
Phone (301) 739-5959

Other identifiers 1

IdentifierTypeStateIssuer
340013100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070420000322 MD Part B Supplier - Clinic/Group Practice 9436254372 Receives reassigned benefits from 6 practitioners
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

235 Mill St
Ste 1
Hagerstown, MD 21740
Phone (301) 739-5959

11110 Medical Campus Rd
Ste 227
Hagerstown, MD 21742
Phone (301) 797-1900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1962620690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MILL ST",
            "address_2": "SUITE 1",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406114",
            "telephone_number": "301-739-5959",
            "fax_number": "301-739-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MILL ST",
            "address_2": "SUITE 1",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406114",
            "telephone_number": "301-739-5959",
            "fax_number": "301-739-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CONSULTANT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "SAMINA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-739-5959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0055626",
            "primary": true
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340013100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.