Active NPI
Levan Kuck
- Emergency Medicine Physician
- Columbia, MD
National Provider Identifier
1114962727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0025004
- Practice address
- 5755 Cedar LN
Columbia, MD 21044-2912 - Phone
- (410) 550-9720
- NPI assigned
- Jun 18, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0025004 | MD | Primary |
Addresses
Primary practice location
5755 Cedar LN
Columbia, MD 21044-2912
Mailing address
PO Box 632015
Baltimore, MD 21263-2015
Phone (888) 834-7110
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0025004 | MD | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1114962727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632015",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212632015",
"telephone_number": "888-834-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 CEDAR LN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442912",
"telephone_number": "410-550-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCK",
"first_name": "LEVAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0025004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.