Maryland Partnership for Prevention Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

MARYLAND PARTNERSHIP FOR PREVENTION INC

Practice address

7467 New Ridge Road
Suite 130
Hanover, MD 21076

Phone

(443) 570-4858

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Tate

Title

Executive Director

Phone

(443) 570-4858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1093265878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7467 NEW RIDGE ROAD",
            "address_2": "SUITE 130",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "21076",
            "telephone_number": "443-570-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7467 NEW RIDGE ROAD",
            "address_2": "SUITE 130",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "21076",
            "telephone_number": "443-570-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PARTNERSHIP FOR PREVENTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-570-4858"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Miranda Mahoney, AGNP
• Robert Alan Main III, DPT
• Marathon Health LLC
• Sherry Martin
• Maryland CVS Pharmacy LLC (CVS Pharmacy # 10564)
• Maryland Primary Care Physicians, LLC
• Maryland Primary Care Physicians, LLC
• Jessica Whitney Mason, RDH
• Sharon Mathew, DDS
• Zachary Loren McCarthy

• Allergy & Immunology Physician in Hanover, MD
• Providers in Hanover, MD by specialty
• Allergy & Immunology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.