Active NPI
Carl Douglas Lord, M.D.
- Obstetrics & Gynecology Physician
- Columbia, MD
National Provider Identifier
1063462349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0006796
- Practice address
- 9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288 - Phone
- (800) 762-6282
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0006796 | MD | Primary |
Addresses
Primary practice location
9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288
Mailing address
9755 Patuxent Woods Dr Ste 100
Columbia, MD 21046-2288
Phone (800) 762-6282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11457 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA, FL, NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
309 Main St
Madison, NJ 07940-2338
Phone (800) 762-6282
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0006796 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wellness DC, LLC | Current | Accepting new patients | |
| Nava Health Medical Group, LLC | Past | Accepting new patients | |
| Nava Health Medical Group, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Nava Health Medical Group, LLC | Past | Accepting new patients | |
| Nava Health Medical Group, LLC | Past | Accepting new patients | |
| Nava Health Medical Group, LLC | Past | Accepting new patients | |
| Nava Health Medical Group, LLC | Past | Accepting new patients | |
| Nava Health Medical Group, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
9755 Patuxent Woods Dr
Ste 100
Columbia, MD 21046
Phone (410) 910-5959
Organizations & group practices 10
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.
-
dba Nava Health and Vitality Center
- Family Medicine Physician
- Columbia, MD
- NPI 1225617897
NJ
-
- Internal Medicine Physician
- Washington, DC
- NPI 1255791976
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Cockeysville, MD
- NPI 1124859574
-
- Family Medicine Physician
- Annapolis, MD
- NPI 1144051590
-
- Family Medicine Physician
- Plantation, FL
- NPI 1063260768
-
- Family Medicine Physician
- Boca Raton, FL
- NPI 1487428231
-
- Family Medicine Physician
- Carle Place, NY
- NPI 1518798958
-
- Obstetrics & Gynecology Physician
- Madison, NJ
- NPI 1821829268
-
- Family Medicine Physician
- Montvale, NJ
- NPI 1851140412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1063462349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9755 PATUXENT WOODS DR STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462288",
"telephone_number": "800-762-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 PATUXENT WOODS DR STE 100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462288",
"telephone_number": "800-762-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "CARL",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0006796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11457",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.