Organization Active NPI

E.Pasmanik, MD, LLC

Doing business as Provita Health

  • Primary Care Clinic/Center
  • Randallstown, MD
National Provider Identifier
1326230343
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0059228 Issued in MD
Legal business name
E.PASMANIK, MD, LLC
Doing business as
Provita Health
Practice address
5400 Old Court Rd
Randallstown, MD 21133-5100
Phone
(410) 521-4211
Fax
(410) 521-0627
NPI assigned
Aug 14, 2007
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Dr. Elvira Pasmanik, MDNPI 1316945652
Title
President
Phone
(443) 739-8040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0059228 MD Primary

Addresses

Primary practice location

5400 Old Court Rd
Randallstown, MD 21133-5100

Mailing address

5400 Old Court Rd
Randallstown, MD 21133-5100
Phone (410) 521-4211

Other names 1

  • Provita Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1326230343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335100",
            "telephone_number": "410-521-4211",
            "fax_number": "410-521-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335100",
            "telephone_number": "410-521-4211",
            "fax_number": "410-521-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.PASMANIK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "PASMANIK",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-739-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0059228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provita Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.