NPIMap

Organization Active NPI

Airpark Primary Care LLC

  • Physician Assistant
  • Westminster, MD
National Provider Identifier
1285814780
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0000786 Issued in MD
Legal business name
AIRPARK PRIMARY CARE LLC
Practice address
125 Airport Dr
Suite 34
Westminster, MD 21157-3024
Phone
(410) 848-8882
Fax
(410) 848-8767
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Mrs. Sharon L. Layman
Title
Office Manager
Phone
(410) 848-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X C0000786 MD Primary

Addresses

Primary practice location

125 Airport Dr
Suite 34
Westminster, MD 21157-3024

Mailing address

125 Airport Dr
Suite 34
Westminster, MD 21157-3024
Phone (410) 848-8882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802001219 MD Part B Supplier - Clinic/Group Practice 1355312604 Receives reassigned benefits from 3 practitioners
Practice locations: Westminster, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1285814780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 AIRPORT DR",
            "address_2": "SUITE 34",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573024",
            "telephone_number": "410-848-8882",
            "fax_number": "410-848-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AIRPORT DR",
            "address_2": "SUITE 34",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573024",
            "telephone_number": "410-848-8882",
            "fax_number": "410-848-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRPARK PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-848-8882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.