Organization Active NPI

Michael R Mardiney Jr MD PA

  • Allergy & Immunology Physician
  • Ellicott City, MD
National Provider Identifier
1023143138
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
MICHAEL R MARDINEY JR MD PA
Practice address
3105 N Ridge Rd
Ellicott City, MD 21043-3348
Phone
(410) 461-7660
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Michael Ralph Mardiney Jr., MD
Title
President
Phone
(410) 461-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

3105 N Ridge Rd
Ellicott City, MD 21043-3348

Mailing address

PO Box 490
Riderwood, MD 21139-0490
Phone (410) 461-7660

Other names 1

  • Mardiney Asthma Allergy and Immunology Centers Doing business as

National Provider Directory

National Provider Directory

Locations

61 E Padonia Rd
Timonium, MD 21093
Phone (410) 252-1313

Practitioners & affiliated clinicians

Practitioners 1

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1023143138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "RIDERWOOD",
            "state": "MD",
            "postal_code": "211390490",
            "telephone_number": "410-461-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N RIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433348",
            "telephone_number": "410-461-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R MARDINEY JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "MARDINEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-461-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mardiney Asthma Allergy and Immunology Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.