Maryland Inpatient Medicine Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARYLAND INPATIENT MEDICINE ASSOCIATES LLC

Practice address

219 S Washington St
Easton, MD 21601-2913

Phone

(410) 822-1000

Fax

(410) 770-3721

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Talbot Green McCormick III, MD

Title

President - Chief Operating Officer

Phone

(678) 441-8500

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1114972031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96368",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731436368",
            "telephone_number": "678-441-8500",
            "fax_number": "676-784-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "410-822-1000",
            "fax_number": "410-770-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND INPATIENT MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "TALBOT",
        "authorized_official_middle_name": "GREEN",
        "authorized_official_title_or_position": "PRESIDENT - CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "678-441-8500",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "356CMA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF5634",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412823100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth H. Mason, M.D.
• Richard J Mason, MD
• John Philip Mastandrea, M.D.

• Internal Medicine Physician in Easton, MD
• Providers in Easton, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.