Ursula D. Poydras, MD, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D0042448 Issued in MD

Legal business name

URSULA D. POYDRAS, MD, LLC

Practice address

9821 Greenbelt Rd
Suite 206
Lanham, MD 20706-2265

Phone

(301) 552-5862

Fax

(301) 552-5864

NPI assigned

Sep 12, 2008

Organization subpart

No

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

Authorized official

Name

Ursula Denise Poydras, M.D.NPI 1316030281

Title

Physician and Surgeon

Phone

(301) 552-5862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Ursula Denise Poydras, MD

  • Specialist
  • Lanham, MD
  • NPI 1316030281

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1043469141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD",
            "address_2": "SUITE 206",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062265",
            "telephone_number": "301-552-5862",
            "fax_number": "301-552-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD",
            "address_2": "SUITE 206",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062265",
            "telephone_number": "301-552-5862",
            "fax_number": "301-552-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URSULA D. POYDRAS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "POYDRAS",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PHYSICIAN AND SURGEON",
        "authorized_official_telephone_number": "301-552-5862",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0042448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Lanham, MD
• Providers in Lanham, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.