Organization Active NPI

David a. Litman, M.D., P.a.

  • Otolaryngology Physician
  • Cumberland, MD
National Provider Identifier
1235336546
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0062710 Issued in MD
Legal business name
DAVID A. LITMAN, M.D., P.A.
Practice address
12502 Willowbrook Rd
Suite 560
Cumberland, MD 21502-1876
Phone
(301) 723-6476
Fax
(301) 723-6479
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. David Allen Litman, M.D.NPI 1982606935
Title
President
Phone
(301) 723-6476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X D0062710 MD Primary

Addresses

Primary practice location

12502 Willowbrook Rd
Suite 560
Cumberland, MD 21502-1876

Mailing address

12502 Willowbrook Rd
Suite 560
Cumberland, MD 21502-1876
Phone (301) 723-6476

Other identifiers 1

IdentifierTypeStateIssuer
407657500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050512000528 MD Part B Supplier - Clinic/Group Practice 5193766897 Receives reassigned benefits from 1 practitioner
Practice locations: Cumberland, MD; Oakland, MD

National Provider Directory

National Provider Directory

Locations

902 Seton Dr
Ste 302
Cumberland, MD 21502
Phone (301) 722-0954

12502 Willowbrook Rd
Ste 560
Cumberland, MD 21502
Phone (301) 723-6476

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1235336546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "address_2": "SUITE 560",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021876",
            "telephone_number": "301-723-6476",
            "fax_number": "301-723-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "address_2": "SUITE 560",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021876",
            "telephone_number": "301-723-6476",
            "fax_number": "301-723-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. LITMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "LITMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-723-6476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0062710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407657500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.