Organization Active NPI

Davis G. Farvolden, M.D., LLC

  • Dermatology Physician
  • Towson, MD
National Provider Identifier
1073789277
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0067218 Issued in MD
Legal business name
DAVIS G. FARVOLDEN, M.D., LLC
Practice address
7401 Osler Dr
Suite 107
Towson, MD 21204-7673
Phone
(410) 321-5900
Fax
(410) 821-6052
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Davis Graham Farvolden, M.D.
Title
Physician/Owner
Phone
(410) 321-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D0067218 MD Primary

Addresses

Primary practice location

7401 Osler Dr
Suite 107
Towson, MD 21204-7673

Mailing address

7401 Osler Dr
Suite 107
Towson, MD 21204-7673
Phone (410) 321-5900

National Provider Directory

National Provider Directory

Locations

7401 Osler Dr
Ste 107
Towson, MD 21204
Phone (410) 321-5900

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1073789277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR",
            "address_2": "SUITE 107",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047673",
            "telephone_number": "410-321-5900",
            "fax_number": "410-821-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR",
            "address_2": "SUITE 107",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047673",
            "telephone_number": "410-321-5900",
            "fax_number": "410-821-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS G. FARVOLDEN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FARVOLDEN",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "410-321-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0067218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.