Active NPI
Mariflor S Jamora, MD
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1114081759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0045985
- Practice address
- 707 N Broadway
Baltimore, MD 21205-1832 - Phone
- (443) 923-9200
- Fax
- (443) 923-9405
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0045985 | MD | Primary |
Addresses
Primary practice location
707 N Broadway
Baltimore, MD 21205-1832
Mailing address
2931 E Biddle St
Patient Accounting
Baltimore, MD 21213-3939
Phone (443) 923-1886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148041300 | Medicaid | MD | |
| 53341202 | Other | MD | CAREFIRST BC BS |
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 |
|---|---|---|---|
| D0045985 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114081759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2931 E BIDDLE ST",
"address_2": "PATIENT ACCOUNTING",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212133939",
"telephone_number": "443-923-1886",
"fax_number": "443-923-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N BROADWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051832",
"telephone_number": "443-923-9200",
"fax_number": "443-923-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMORA",
"first_name": "MARIFLOR",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0045985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148041300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC BS",
"identifier": "53341202",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, 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.