Active NPI
Mdics at Anne Arundel LLC
- Hospitalist Physician
- Annapolis, MD
National Provider Identifier
1003657446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- MDICS AT ANNE ARUNDEL LLC
- Practice address
- 904 Commerce Rd
Annapolis, MD 21401-2948 - Phone
- (410) 849-6140
- NPI assigned
- May 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Delbrugge
- Title
- Cfo
- Phone
- (301) 693-8707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
904 Commerce Rd
Annapolis, MD 21401-2948
Mailing address
7250 Parkway Dr Ste 120
Hanover, MD 21076-1388
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1003657446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 PARKWAY DR STE 120",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 COMMERCE RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012948",
"telephone_number": "410-849-6140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDICS AT ANNE ARUNDEL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "DELBRUGGE",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "301-693-8707"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.