Active NPI
Lawrence W. Adler MD PA
- Specialist
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D19454
- Legal business name
- LAWRENCE W. ADLER MD PA
- Practice address
- 7310 Ritchie Hwy.
Suite 512
Glen Burnie, MD 21061 - Phone
- (410) 761-7042
- Fax
- (410) 761-7984
- NPI assigned
- Oct 2, 2007
- Last updated
- May 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence W. Adler, M.D.
- Title
- President
- Phone
- (410) 761-7042
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D19454 | MD | Primary |
Addresses
Primary practice location
7310 Ritchie Hwy.
Suite 512
Glen Burnie, MD 21061
Mailing address
7310 Ritchie Hwy.
Suite 512
Glen Burnie, MD 21061
Phone (410) 761-7042
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404484300 | Medicaid | MD | |
| 4323821 | Other | AETNA | |
| 1993LA | Other | MD | BLUE CROSS BLUE SHIELD |
| W714 | Other | DC | BLUECHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Lawrence W Adler MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Glen Burnie, MD
- NPI 1679848535
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Glen Burnie, MD
- NPI 1871681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430870400000",
"number": "1245427392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 RITCHIE HWY.",
"address_2": "SUITE 512",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21061",
"telephone_number": "410-761-7042",
"fax_number": "410-761-7984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 RITCHIE HWY.",
"address_2": "SUITE 512",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21061",
"telephone_number": "410-761-7042",
"fax_number": "410-761-7984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE W. ADLER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2015-05-06",
"status": "A",
"authorized_official_last_name": "ADLER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-761-7042",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D19454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404484300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4323821",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1993LA",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "W714",
"state": "DC"
}
],
"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 May 6, 2015; 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.