Active NPI
Chimene L Liburd MD Mba
Doing business as Anne Arundel Primary Care LLC
- Internal Medicine Physician
- Gambrills, MD
National Provider Identifier
1114959855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CHIMENE L LIBURD MD MBA
- Doing business as
- Anne Arundel Primary Care LLC
- Practice address
- 2401 Brandermill Blvd
Suite 330
Gambrills, MD 21054-1690 - Phone
- (410) 451-9888
- Fax
- (410) 451-9876
- NPI assigned
- Jul 6, 2006
- Last updated
- Nov 13, 2007
- 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
- Chimene L. Liburd, M.D.
- Title
- Managing Partner
- Phone
- (410) 451-9888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
2401 Brandermill Blvd
Suite 330
Gambrills, MD 21054-1690
Mailing address
PO Box 3489
Crofton, MD 21114-0489
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23PWAN | Other | MD | CAREFIRST |
| DF7391 | Other | GA | RAILROAD MEDICARE |
| 6019 | Other | DC | CAREFIRST |
Other names 1
- Anne Arundel Primary Care LLC
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, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Gambrills, MD
- NPI 1386618189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1114959855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3489",
"city": "CROFTON",
"state": "MD",
"postal_code": "211140489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 BRANDERMILL BLVD",
"address_2": "SUITE 330",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541690",
"telephone_number": "410-451-9888",
"fax_number": "410-451-9876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIMENE L LIBURD MD MBA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "LIBURD",
"authorized_official_first_name": "CHIMENE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "410-451-9888",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "23PWAN",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF7391",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "6019",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anne Arundel Primary Care LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.