Compess Health Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0035674 Issued in MD

Legal business name

COMPESS HEALTH CARE

Practice address

1900 E Northern Pkwy
Baltimore, MD 21239-2113

Phone

(410) 323-7700

Fax

(410) 323-0974

NPI assigned

Dec 13, 2006

Last updated

Jun 23, 2008By 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

Wanda J Simmons-Clemm, MD

Title

Owner

Phone

(410) 323-7700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1104987270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "address_2": "#201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392110",
            "telephone_number": "410-323-7700",
            "fax_number": "410-323-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "410-323-7700",
            "fax_number": "410-323-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPESS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SIMMONS-CLEMM",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-323-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0035674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098200800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.