Healthcare Provider Details

I. General information

NPI: 1023812245
Provider Name (Legal Business Name): HEARTMASTERS MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 BENNING RD NE
WASHINGTON DC
20002-7253
US

IV. Provider business mailing address

PO BOX 3786
CROFTON MD
21114-3786
US

V. Phone/Fax

Practice location:
  • Phone: 202-669-5821
  • Fax:
Mailing address:
  • Phone: 202-669-5821
  • Fax: 301-877-6963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IEON LLOYD DAWSON
Title or Position: CARDIOLOGIST /PRESIDENT
Credential: MD
Phone: 202-669-5821