Organization Active NPI

Cumberland Valley Family Medicine LLC

  • Family Medicine Physician
  • Cumberland, MD
National Provider Identifier
1245676733
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0065518 Issued in MD
Legal business name
CUMBERLAND VALLEY FAMILY MEDICINE LLC
Practice address
30A N Mechanic St
Cumberland, MD 21502-2314
Phone
(240) 362-7265
Fax
(240) 362-7266
NPI assigned
May 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Dr. Marilyn MK Nelson, MD
Title
Owner/President
Phone
(240) 362-7265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0065518 MD Primary

Addresses

Primary practice location

30A N Mechanic St
Cumberland, MD 21502-2314

Mailing address

30A N Mechanic St
Cumberland, MD 21502-2314
Phone (240) 362-7265

National Provider Directory

National Provider Directory

Locations

30 N Mechanic St
Ste A
Cumberland, MD 21502
Phone (240) 362-7265

NPI Registry JSON

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

{
    "created_epoch": "1368230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1245676733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30A N MECHANIC ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022314",
            "telephone_number": "240-362-7265",
            "fax_number": "240-362-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30A N MECHANIC ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022314",
            "telephone_number": "240-362-7265",
            "fax_number": "240-362-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND VALLEY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-11",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "MK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "240-362-7265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0065518",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 8, 2013; 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.