Mark J Kushner, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D23468 Issued in MD

Practice address

110 Hospital Rd Ste 310
Prince Frederick, MD 20678-4041

Phone

(410) 535-2005

Fax

(410) 535-4850

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glenn G. Marinelli MD PA

  • Otolaryngology Physician
  • Prince Frederick, MD
  • NPI 1780854885
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023167673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 310",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784041",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 310",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784041",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D23468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "32905001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI HMO",
            "identifier": "336799",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO SPECIALIST",
            "identifier": "2154481",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO SPECIALIST",
            "identifier": "7720001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "C0410006",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kramer, RN
• Radha Krishnan, DMD, MS
• Todd Gerard Kruder
• Maria Logiudice Krukar, MS, CCC-SLP
• Catherine Kuegler, PT
• Laboratory Corporation of America
• Mary Laborie, LMSW
• Tammy Lynn Lambert, ADT
• Melissa Hampton Langham, LMSW
• Michaela Marie Langley

• Cardiovascular Disease Physician in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.