Individual provider Active NPI

Norman David Emerson, MD

  • Internal Medicine Physician
  • Myersville, MD
National Provider Identifier
1306929427
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0077952 Issued in MD
Practice address
12719 Stottlemyer Rd
Myersville, MD 21773-9727
Phone
(580) 319-8457
Fax
(301) 965-8727
NPI assigned
Oct 23, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101261544 VA
Internal Medicine Physician 207R00000X D0077952 MD Primary

Addresses

Primary practice location

12719 Stottlemyer Rd
Myersville, MD 21773-9727

Mailing address

12719 Stottlemyer Rd
Myersville, MD 21773-9727
Phone (580) 319-8457

Other identifiers 1

IdentifierTypeStateIssuer
200006840AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20191220000935 GU Practitioner - Internal Medicine 9032301494 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0077952MDMDInternal Medicine Physician
0101261544VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Conference Corp of Sda CurrentSince Nov 18, 2019 Accepting new patients
David K Miller MD PC PastSince Aug 31, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ardmore Institute of Health Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1306929427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12719 STOTTLEMYER RD",
            "city": "MYERSVILLE",
            "state": "MD",
            "postal_code": "217739727",
            "telephone_number": "580-319-8457",
            "fax_number": "301-965-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12719 STOTTLEMYER RD",
            "city": "MYERSVILLE",
            "state": "MD",
            "postal_code": "217739727",
            "telephone_number": "580-319-8457",
            "fax_number": "301-965-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "NORMAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101261544",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0077952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006840A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myersville, MD

Sources for this page

Verify at the official NPI Registry.