NPIMap

Organization Active NPI

Marcella Ellis LLC

  • Customized Equipment (DME)
  • Glen Burnie, MD
National Provider Identifier
1215075510
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
417482 Issued in MD
Legal business name
MARCELLA ELLIS LLC
Practice address
2 Crain Hwy S
A
Glen Burnie, MD 21061-3526
Phone
(410) 760-2999
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Marcella Annette Wooten
Title
Pres
Phone
(410) 760-2999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 417482 MD Primary

Addresses

Primary practice location

2 Crain Hwy S
A
Glen Burnie, MD 21061-3526

Mailing address

2 Crain Hwy S
A
Glen Burnie, MD 21061-3526
Phone (410) 760-2999

National Provider Directory

National Provider Directory

Locations

2 Crain Hwy S
#A
Glen Burnie, MD 21061
Phone (410) 760-2999

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215075510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRAIN HWY S",
            "address_2": "A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613526",
            "telephone_number": "410-760-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CRAIN HWY S",
            "address_2": "A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613526",
            "telephone_number": "410-760-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLA ELLIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "410-760-2999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "417482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.