NPIMap

Organization Active NPI

St Marys Pediatrics LLC

  • Pediatrics Physician
  • Leonardtown, MD
National Provider Identifier
1225515133
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ST MARYS PEDIATRICS LLC
Practice address
23503 Hollywood Road
Suite 104
Leonardtown, MD 20650
Phone
(301) 971-3435
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Mohamed Lafeer, MD
Title
MD/President
Phone
(301) 769-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

23503 Hollywood Road
Suite 104
Leonardtown, MD 20650

Mailing address

PO Box 1706
Leonardtown, MD 20650-1706
Phone (301) 769-8989

National Provider Directory

National Provider Directory

Locations

23503 Hollywood Rd
Ste 104
Leonardtown, MD 20650
Phone (240) 309-4172

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1225515133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206501706",
            "telephone_number": "301-769-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23503 HOLLYWOOD ROAD",
            "address_2": "SUITE 104",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-971-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "LAFEER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "301-769-8989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.