Individual provider Active NPI

Emily M Clarke-Pearson, MD

  • Plastic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1306004452
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0078806 Issued in MD
Practice address
915 S Wolfe St Apt 243
Baltimore, MD 21231-3639
Phone
(410) 656-8200
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2012-01398 NC
Plastic Surgery Physician 208200000X D0078806 MD Primary

Addresses

Primary practice location

915 S Wolfe St Apt 243
Baltimore, MD 21231-3639

Mailing address

915 S Wolfe St Apt 243
Baltimore, MD 21231-3639
Phone (401) 829-7759

Other practice location 1

1838 Greene Tree Rd Ste 370
Pikesville, MD 21208-7102
Phone (410) 656-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160812000601 MD Practitioner - Plastic and Reconstructive Surgery 3971757097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0078806MDMDPlastic Surgery Physician
2012-01398NCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Annapolis, LLC CurrentSince Aug 1, 2016 Accepting new patients
Emily Clarke-Pearson, MD, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

130 Admiral Cochrane Dr
Ste 302
Annapolis, MD 21401
Phone (410) 571-1280

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1306004452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S WOLFE ST APT 243",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313639",
            "telephone_number": "401-829-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S WOLFE ST APT 243",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313639",
            "telephone_number": "410-656-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1838 Greene Tree Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212087102",
            "country_code": "US",
            "telephone_number": "410-656-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE-PEARSON",
        "first_name": "EMILY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2012-01398",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0078806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.