Karen Louise McClure, C.R.N.P

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R066214 Issued in MD

Practice address

484 Ritchie Hwy # a
Severna Park, MD 21146-2911

Phone

(410) 544-4600

Fax

(410) 544-0997

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Ms. Karen Louise Borzillo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Maryland Primary Care Physicians, LLC

  • Multi-Specialty Clinic/Center
  • Annapolis, MD
  • NPI 1083667067
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083615355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COOL GLADE CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081731",
            "telephone_number": "410-987-0784",
            "fax_number": "410-987-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 RITCHIE HWY # A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462911",
            "telephone_number": "410-544-4600",
            "fax_number": "410-544-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "C.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R066214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "7605-0074",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD RENDERING",
            "identifier": "646351-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC PROVIDER NUMBER",
            "identifier": "116724",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BORZILLO",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "C.R.N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Mastboom-Bell, P.T.
• Maternity Partners
• Todd Mathews, MS OTR
• Maya a. Vernon, DDS, LLC
• Sabrina Jeanette Mayer, RBT
• Amirah McCoy
• Joy Lynn McCrady, MS, LCPC, NCC
• Megan McCullough, SLP
• Danielle McDevitt, MD
• Jessica McGhee, LPC, LCPC

• Family Medicine Physician in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.