Individual provider Active NPI

Ann-Marie Natalee Cobb, PA-C

  • Physician Assistant
  • Laplata, MD
National Provider Identifier
1104927748
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C-0003406 Issued in MD
Practice address
701 East Charles Street
Laplata, MD 20646
Phone
(301) 609-4520
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C-0003406 MD Primary

Addresses

Primary practice location

701 East Charles Street
Laplata, MD 20646

Mailing address

3721 Halloway N
Upper Marlboro, MD 20772-3213
Phone (202) 904-8599

Other names 1

  • Miss Ann-Marie Natalee Cobb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090504000537 MD Practitioner - Physician Assistant 9436207263 Reassigns benefits to 4 organizations
I20131008000844 DC Practitioner - Physician Assistant 9436207263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Medical Associates IncGroup PAC ID 4284636424, 7 clinicians
Mdics at Civista LLCGroup PAC ID 8325200793, 35 clinicians

Practice addresses (Care Compare)

4475 Regency PL
Suite 201
White Plains, MD 20695-3074
Phone (301) 638-7802

5 Garrett Ave
La Plata, MD 20646-5960
Phone (443) 949-0814

Hospital & facility affiliations

  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C-0003406MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Inpatient Care Specialists LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: annmarie.cobb@direct.davitaphysiciansolutions.com
  • Direct secure messaging: acobb547938@direct.umm.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1104927748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 HALLOWAY N",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723213",
            "telephone_number": "202-904-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST CHARLES STREET",
            "city": "LAPLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-609-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "ANN-MARIE",
        "middle_name": "NATALEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C-0003406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN-MARIE",
            "last_name": "COBB",
            "middle_name": "NATALEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laplata, MD

Sources for this page

Verify at the official NPI Registry.