Individual provider Active NPI

Diana Marcela Mejia, PA

  • Physician Assistant
  • Columbia, MD
National Provider Identifier
1225466915
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017118 Issued in NY
Practice address
5755 Cedar LN Ste 134
Howard County General Hospital
Columbia, MD 21044-2912
Phone
(410) 884-4746
Fax
(410) 884-4749
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017118 NY Primary

Addresses

Primary practice location

5755 Cedar LN Ste 134
Howard County General Hospital
Columbia, MD 21044-2912

Mailing address

2122 Tucson Ave Unit D
Andrews Air Force Base, MD 20762-5566
Phone (407) 902-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017118NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Washington Emergency Physicians Chartered Past Accepting new patients
Johns Hopkins Emergency Medical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1225466915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 TUCSON AVE UNIT D",
            "city": "ANDREWS AIR FORCE BASE",
            "state": "MD",
            "postal_code": "207625566",
            "telephone_number": "407-902-4080",
            "fax_number": "240-348-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN STE 134",
            "address_2": "HOWARD COUNTY GENERAL HOSPITAL",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912",
            "telephone_number": "410-884-4746",
            "fax_number": "410-884-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "DIANA",
        "middle_name": "MARCELA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.