Active NPI
Marcia Sanford Driscoll, MD
- Dermatology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0057983
- Practice address
- 419 W Redwood St
Suite 160
Baltimore, MD 21201-1734 - Phone
- (410) 328-3167
- Fax
- (410) 328-1323
- NPI assigned
- Sep 21, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0057983 | MD | Primary |
Addresses
Primary practice location
419 W Redwood St
Suite 160
Baltimore, MD 21201-1734
Mailing address
PO Box 64445
Baltimore, MD 21264-4445
Phone (410) 328-1064
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S045-0033 | Other | DC | BLUE SHIELD FEP |
| 612547-01 | Other | MD | CAREFIRST |
Other names 1
- Marcia Elizabeth Sanford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Connecticut School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8664
419 W Redwood St
Suite 160
Baltimore, MD 21201-1782
Phone (410) 238-8025
5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 217-1171
Hospital & facility affiliations
- University of Maryland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 288 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 83 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0057983 | MD | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelly M Hall MD LLC | Dermatology | Past | Accepting new patients |
| Associates in Dermatology Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mdriscoll6073@direct.umm.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Columbia, MD
- NPI 1659304152
-
- Dermatology Physician
- Chevy Chase, MD
- NPI 1629283007
-
- Specialist
- Kissimmee, FL
- NPI 1316960297
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1124127899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64445",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644445",
"telephone_number": "410-328-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 W REDWOOD ST",
"address_2": "SUITE 160",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011734",
"telephone_number": "410-328-3167",
"fax_number": "410-328-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "MARCIA",
"middle_name": "SANFORD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0057983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD FEP",
"identifier": "S045-0033",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "612547-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARCIA",
"last_name": "SANFORD",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.