Willard Amoss MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0004354 Issued in MD

Legal business name

WILLARD AMOSS MD LLC

Practice address

2303 Bel Air Rd
Fallston, MD 21047-2737

Phone

(410) 877-3822

Fax

(410) 877-7781

NPI assigned

Apr 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Willard Amoss, MD

Title

President

Phone

(410) 877-3822

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1174840813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 BEL AIR RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472737",
            "telephone_number": "410-877-3822",
            "fax_number": "410-877-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 BEL AIR RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472737",
            "telephone_number": "410-877-3822",
            "fax_number": "410-877-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLARD AMOSS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "AMOSS",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-877-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0004354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001431100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Fallston, MD
• Providers in Fallston, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.