Organization Active NPI

Martina P Callum M.D., LLC

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1275071375
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63603 Issued in MD
Legal business name
MARTINA P CALLUM M.D., LLC
Practice address
1900 E Northern Pkwy Ste 3a
Baltimore, MD 21239-2113
Phone
(240) 506-2618
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Dr. Martina Priscilla Callum, MD
Title
Ceo
Phone
(240) 506-2618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63603 MD Primary

Addresses

Primary practice location

1900 E Northern Pkwy Ste 3a
Baltimore, MD 21239-2113

Mailing address

1900 E Northern Pkwy Ste 3a
Baltimore, MD 21239-2113
Phone (240) 506-2618

National Provider Directory

National Provider Directory

Locations

1900 E Northern Pkwy
Ste 3A
Baltimore, MD 21239
Phone (240) 506-2618

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15733/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1275071375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 3A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "240-506-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 3A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "240-506-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINA P CALLUM M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "CALLUM",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_middle_name": "PRISCILLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-506-2618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "63603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.