NPIMap

Organization Active NPI

DRS Poulton & Smith LLC

  • Dermatology Physician
  • Baltimore, MD
National Provider Identifier
1043410905
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DRS POULTON & SMITH LLC
Practice address
5233 King Ave
Suite 204
Baltimore, MD 21237-4001
Phone
(410) 574-3100
Fax
(410) 574-3710
NPI assigned
Jul 19, 2007
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
James K Poulton, M.D.NPI 1407845779
Title
Partner
Phone
(410) 686-7876

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD Primary

Addresses

Primary practice location

5233 King Ave
Suite 204
Baltimore, MD 21237-4001

Mailing address

5233 King Ave
Suite 204
Baltimore, MD 21237-4001
Phone (410) 574-3100

Other names 1

  • DRS.POULTON & ACRI LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001346 MD Part B Supplier - Clinic/Group Practice 6002894342 Receives reassigned benefits from 3 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

5233 King Ave
Ste 204
Rosedale, MD 21237
Phone (410) 574-3100

9101 Franklin Square Dr
Ste 308
Rosedale, MD 21237
Phone (301) 572-3100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1043410905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 KING AVE",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374001",
            "telephone_number": "410-574-3100",
            "fax_number": "410-574-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 KING AVE",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374001",
            "telephone_number": "410-574-3100",
            "fax_number": "410-574-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS POULTON & SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "POULTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-686-7876",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS.POULTON & ACRI LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.