Active NPI
Luciano R Belizan MD PA
- Specialist
- Rockville, MD
National Provider Identifier
1326212911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0023752
- Legal business name
- LUCIANO R BELIZAN MD PA
- Practice address
- 9715 Medical Center Dr
Suite 530
Rockville, MD 20850-3320 - Phone
- (301) 279-7622
- Fax
- (301) 279-7624
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carol Oltchick
- Title
- Practice Administrator
- Phone
- (301) 279-7622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0023752 | MD | Primary |
Addresses
Primary practice location
9715 Medical Center Dr
Suite 530
Rockville, MD 20850-3320
Mailing address
9715 Medical Center Dr
Suite 530
Rockville, MD 20850-3320
Phone (301) 279-7622
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1326212911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR",
"address_2": "SUITE 530",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503320",
"telephone_number": "301-279-7622",
"fax_number": "301-279-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR",
"address_2": "SUITE 530",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503320",
"telephone_number": "301-279-7622",
"fax_number": "301-279-7624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCIANO R BELIZAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "OLTCHICK",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "301-279-7622",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0023752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.