Mary Jo Fishburn, M.D., PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D38344 Issued in MD

Legal business name

MARY JO FISHBURN, M.D., PA

Practice address

7801 York Rd
Suite #200
Towson, MD 21204-7446

Phone

(410) 821-1785

Fax

(410) 821-1789

NPI assigned

Oct 13, 2006

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Jo Fishburn, M.D.

Title

Owner

Phone

(410) 821-1785

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1144310145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 YORK RD",
            "address_2": "SUITE #200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047446",
            "telephone_number": "410-821-1785",
            "fax_number": "410-821-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD",
            "address_2": "SUITE #200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047446",
            "telephone_number": "410-821-1785",
            "fax_number": "410-821-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JO FISHBURN, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "FISHBURN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-821-1785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D38344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42481206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Forrest Martin III, D.D.S.
• Rafaelina Martinez, P.A.
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• Christa Marvenko-Athas, LCSW-C
• Evelyn Linda Marx, L.C.S.W.-C., PH.D.
• Mary Teddy Wray DDS Dba Towson Extreme Smiles
• Maryland Aesthetic and Reconstructive Ambulatory Surgical Center LLC
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• Maryland CVS Pharmacy LLC (CVS Pharmacy #16506)
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 02216)

• Physical Medicine & Rehabilitation Physician in Towson, MD
• Providers in Towson, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.