Annapolis Asthma Pulmonary and Sleep Spec

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

ANNAPOLIS ASTHMA PULMONARY AND SLEEP SPEC

Practice address

2000 Medical Pkwy
Suite 607
Annapolis, MD 21401-3742

Phone

(410) 266-1644

Fax

(410) 266-1642

NPI assigned

Nov 21, 2006

Last updated

Jun 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert T Peterson, MD

Title

President

Phone

(410) 266-1644

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9065/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven C Resnick, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Annapolis, MD
  • NPI 1477555134

  Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Ira M Weinstein, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Annapolis, MD
  • NPI 1023097680

  Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Elisse Kenty Gray, CRNP

  • Family Nurse Practitioner
  • Annapolis, MD
  • NPI 1386147056
  Medicare reassignment NPD
• Martha Reilley, NP

  • Nurse Practitioner
  • Baltimore, MD
  • NPI 1003381997
  Medicare reassignment NPD
• Jeaneen Elizabeth Mullenhard, CRNP

  • Family Nurse Practitioner
  • Severna Park, MD
  • NPI 1609860113
  NPD (past)
• Stuart Mark Tomares, M.D.

  • Pulmonary Disease Physician
  • Annapolis, MD
  • NPI 1346374675
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1306911995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 607",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-266-1644",
            "fax_number": "410-266-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 607",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-266-1644",
            "fax_number": "410-266-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS ASTHMA PULMONARY AND SLEEP SPEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-266-1644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00317246",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Angermier
• Animal Eye Care
• Animal Eye Care Associates, Inc.
• Annapolis Allergy & Asthma LLC
• Annapolis Assisted Living, LLC (Sunrise of Annapolis)
• Annapolis Audiology Hearing Center, Inc.
• Annapolis Back & Neck Center, LLC
• Annapolis Bus Co Inc (Towne Transport)
• Annapolis Cardiology Consultants
• Annapolis Center for Integrative Medicine

• Pulmonary Disease Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pulmonary Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.