NPIMap

Organization Active NPI

Mid-Atlantic Medical

  • Internal Medicine Physician
  • Laurel, MD
National Provider Identifier
1124457726
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27792 Issued in AZ
Legal business name
MID-ATLANTIC MEDICAL
Practice address
9248 Stream View LN
Laurel, MD 20723-1890
Phone
(240) 750-6861
Fax
(301) 960-8248
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Authorized official

Name
Mr. Bob Steere
Title
Ceo
Phone
(804) 277-4554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 27792 AZ Primary

Addresses

Primary practice location

9248 Stream View LN
Laurel, MD 20723-1890

Mailing address

9248 Stream View LN
Laurel, MD 20723-1890
Phone (240) 750-6861

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1124457726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9248 STREAM VIEW LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231890",
            "telephone_number": "240-750-6861",
            "fax_number": "301-960-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9248 STREAM VIEW LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231890",
            "telephone_number": "240-750-6861",
            "fax_number": "301-960-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "STEERE",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-277-4554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.