Organization Active NPI

John J Laferla, MD PA

  • Gynecology Physician
  • Centreville, MD
National Provider Identifier
1104072479
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D0057063 Issued in MD
Legal business name
JOHN J LAFERLA, MD PA
Doing business as
Corsica Women's Health
Practice address
202 Coursevall Dr
Suite 107
Centreville, MD 21617-2804
Phone
(410) 758-1250
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. John J Laferla, M D
Title
Owner
Phone
(410) 758-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X D0057063 MD Primary

Addresses

Primary practice location

202 Coursevall Dr
Suite 107
Centreville, MD 21617-2804

Mailing address

202 Coursevall Dr
Suite 107
Centreville, MD 21617-2804
Phone (410) 758-1250

Other identifiers 1

IdentifierTypeStateIssuer
018203600MedicaidMD

Other names 1

  • Corsica Women's Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1104072479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 COURSEVALL DR",
            "address_2": "SUITE 107",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172804",
            "telephone_number": "410-758-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 COURSEVALL DR",
            "address_2": "SUITE 107",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172804",
            "telephone_number": "410-758-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J LAFERLA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "LAFERLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-758-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0057063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018203600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corsica Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centreville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.