Active NPI
Joseph B Mizgerd, MD
- Pulmonary Disease Physician
- Takoma Park, MD
National Provider Identifier
1336165927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D0008425
- Practice address
- 7600 Carroll Ave
Takoma Park, MD 20912-6367 - Phone
- (301) 983-9470
- Fax
- (301) 260-2838
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | D0008425 | MD | Primary |
Addresses
Primary practice location
7600 Carroll Ave
Takoma Park, MD 20912-6367
Mailing address
PO Box 299
Burtonsville, MD 20866-0299
Phone (301) 570-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114241100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1336165927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208660299",
"telephone_number": "301-570-9700",
"fax_number": "301-260-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CARROLL AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126367",
"telephone_number": "301-983-9470",
"fax_number": "301-260-2838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZGERD",
"first_name": "JOSEPH",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D0008425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114241100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.