Carrolltowne Medical Center P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0033540 Issued in MD

Legal business name

CARROLLTOWNE MEDICAL CENTER P.A.

Practice address

1380 Progress Way
Suite112
Eldersburg, MD 21784-6464

Phone

(410) 549-2000

Fax

(410) 549-2103

NPI assigned

Aug 27, 2007

Last updated

Jul 1, 2010By 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

Mrs. Karen Turgeon

Title

Office Manager

Phone

(410) 549-2000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1215120951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE112",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-549-2000",
            "fax_number": "410-549-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE112",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-549-2000",
            "fax_number": "410-549-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTOWNE MEDICAL CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "TURGEON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-549-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0033540",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0037356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.