Allison Linquist, MD, PC

Organization Active NPI Dermatology Physician · Elkridge, MD

NPI 1023259355 · NPPES record last updated Mar 17, 2009

Key facts

NPI
1023259355
Entity type
Organization (NPI type 2)
Primary specialty
Dermatology Physician 207N00000X
License
D 60242 (MD)
Legal business name
ALLISON LINQUIST, MD, PC
Practice address
6518 Meadowridge Rd
Ste # 106
Elkridge, MD 21075-6115
Phone
(410) 465-2681
NPI assigned
Mar 17, 2009
Organization subpart
No

Authorized official

Name
Dr. Allison Marie Linquist, MD NPI 1396714994
Title
Owner
Phone
(410) 465-2681

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090421000424 MD Part B Supplier - Clinic/Group Practice 9032266531 Receives reassigned benefits from 3 practitioners
Practice locations: Elkridge, MD

National Provider Directory

Locations

6518 Meadowridge Rd
Ste 106
Elkridge, MD 21075
Phone (410) 465-2681

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207N00000X D 60242 MD Yes

Addresses

Primary practice location

6518 Meadowridge Rd
Ste # 106
Elkridge, MD 21075-6115

Mailing address

6518 Meadowridge Rd
Ste # 106
Elkridge, MD 21075-6115
Phone (410) 465-2681

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2009.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1023259355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 MEADOWRIDGE RD",
            "address_2": "STE # 106",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756115",
            "telephone_number": "410-465-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 MEADOWRIDGE RD",
            "address_2": "STE # 106",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756115",
            "telephone_number": "410-465-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON LINQUIST, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "LINQUIST",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-465-2681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D 60242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

All providers in Elkridge, MD · Dermatology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.