Mark Sivieri M.D. P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0061704 Issued in MD

Legal business name

MARK SIVIERI M.D. P.A.

Practice address

10005 Old Columbia Rd
Suite P170
Columbia, MD 21046-1702

Phone

(410) 312-5280

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lynn Marie Dudley, PA-CNPI 1316058084

Title

Office Manager

Phone

(410) 312-5280

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Lynn Marie Dudley, P.A.

  • Medical Physician Assistant
  • Columbia, MD
  • NPI 1316058084
  NPD (past) Authorized official
• Linda Ruth Hendrickson, LCSW-C

  • Clinical Social Worker
  • Stevensville, MD
  • NPI 1174559488
  NPD (past)
• Mark Vincent Sivieri, M.D.

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1992701742
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1255337002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD",
            "address_2": "SUITE P170",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461702",
            "telephone_number": "410-312-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD",
            "address_2": "SUITE P170",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461702",
            "telephone_number": "410-312-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SIVIERI M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-312-5280",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angla Marino
• Catherine Marino
• Donna Faye Marino, RN
• Luisa Marino, LCPAT, ATR-BC
• Gesireth Mariscal
• Michelle Markey
• Jenna Markland
• Markocare LLC
• Giuliana Markovich
• Samantha Leigh Marks, PSY.D.

• Family Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.