Active NPI
Professional Physician Services LLC
- Internal Medicine Physician
- Glen Burnie, MD
National Provider Identifier
1114935939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PROFESSIONAL PHYSICIAN SERVICES LLC
- Practice address
- 7845 Oakwood Rd
Suite 100
Glen Burnie, MD 21061-4280 - Phone
- (410) 760-1010
- Fax
- (410) 787-1056
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jude Cabatingan Muneses, M.D.
- Title
- President
- Phone
- (410) 760-1010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD | Primary |
Addresses
Primary practice location
7845 Oakwood Rd
Suite 100
Glen Burnie, MD 21061-4280
Mailing address
7845 Oakwood Rd
Suite 100
Glen Burnie, MD 21061-4280
Phone (410) 760-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LZ85PR | Other | MD | BLUE SHIELD OF MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1548286289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114935939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7845 OAKWOOD RD",
"address_2": "SUITE 100",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614280",
"telephone_number": "410-760-1010",
"fax_number": "410-787-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7845 OAKWOOD RD",
"address_2": "SUITE 100",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614280",
"telephone_number": "410-760-1010",
"fax_number": "410-787-1056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL PHYSICIAN SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MUNESES",
"authorized_official_first_name": "JUDE",
"authorized_official_middle_name": "CABATINGAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-760-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MD",
"identifier": "LZ85PR",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
- Julie Price
- Sofia Prieto
- Primecare Adult & Senior Health LLC (PrimeCare Adult & Senior Health)
- Pro-Relief Consulting LLC
- Professional Pharmacy Services, Inc. (NeighborCare-Southgate Pharmacy)
- Progressive Elements
- Prolux Home Care LLC
- Proud Moments Licensed Behavior Analysts PLLC
- Paige Melanie Purcell, P.T.A.
- Hee-Jung Pyun, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.