Active NPI
Randy Levin, M.D.
- Neurology Physician
- Olney, MD
National Provider Identifier
1104958107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0041345
- Practice address
- 17833 Whimsey CT
Olney, MD 20832-2826 - Phone
- (301) 570-4286
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D0041345 | MD | Primary |
Addresses
Primary practice location
17833 Whimsey CT
Olney, MD 20832-2826
Mailing address
17833 Whimsey CT
Olney, MD 20832-2826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0041345 | MD | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104958107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17833 WHIMSEY CT",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17833 WHIMSEY CT",
"city": "OLNEY",
"state": "MD",
"postal_code": "208322826",
"telephone_number": "301-570-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "RANDY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0041345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- 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.