Individual provider Active NPI

Dolores Rhymer-Anderson, M.D., FACOG, MBA

  • Specialist
  • Berlin, MD
National Provider Identifier
1114023165
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
035507 Issued in GA
Practice address
11107 Racetrack Road
Berlin, MD 21811-3279
Phone
(410) 208-9761
Fax
(410) 208-9764
NPI assigned
Sep 16, 2006
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 035507 GA Primary

Addresses

Primary practice location

11107 Racetrack Road
Berlin, MD 21811-3279

Mailing address

10026 Old Ocean City Blvd.
Building #1
Berlin, MD 21811-1288
Phone (410) 641-9450

Other identifiers 1

IdentifierTypeStateIssuer
000509429JMedicaidGA

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)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035507GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Immedicare LLC Past Accepting new patients
Womens Healthcare and Aesthetics Specialist PastSince Feb 1, 2005 Accepting new patients
Atlantic General Hospital Corporation Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1114023165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 OLD OCEAN CITY BLVD.",
            "address_2": "BUILDING #1",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111288",
            "telephone_number": "410-641-9450",
            "fax_number": "410-641-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 RACETRACK ROAD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113279",
            "telephone_number": "410-208-9761",
            "fax_number": "410-208-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHYMER-ANDERSON",
        "first_name": "DOLORES",
        "name_prefix": "Mrs.",
        "credential": "M.D., FACOG, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "035507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000509429J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.