1447259866 NPI number — ARTHRITIS AND RHEUMATISM ASSOCIATES PC

Table of content: (NPI 1447259866)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447259866 NPI number — ARTHRITIS AND RHEUMATISM ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARTHRITIS AND RHEUMATISM ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447259866
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2730 UNIVERSITY BLVD W
Provider Second Line Business Mailing Address:
SUITE 310
Provider Business Mailing Address City Name:
WHEATON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20902-1905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-942-7600
Provider Business Mailing Address Fax Number:
301-942-3132

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2730 UNIVERSITY BLVD W
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
WHEATON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20902-1905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-942-7600
Provider Business Practice Location Address Fax Number:
301-942-3132
Provider Enumeration Date:
07/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
KJOLHEDE
Authorized Official First Name:
JOSHUA
Authorized Official Middle Name:
D
Authorized Official Title or Position:
HR GENERALIST
Authorized Official Telephone Number:
301-942-0442

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  D0021924 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 43004 . This is a "ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1319121 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0008316660 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 43004 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 800177 . This is a "PRIORITY PARTNERS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 968061600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 29ZXAR . This is a "CAREFIRST OF MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 7166 . This is a "CAREFIRST OF DC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




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