Individual provider Active NPI

Rose - Marie St Jean Sylla, MD

  • Pediatric Adolescent Medicine Physician
  • Columbia, MD
National Provider Identifier
1346401189
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
D28934 Issued in MD
Practice address
5209 Eliots Oak Rd
Columbia, MD 21044-1826
Phone
(240) 460-0529
Fax
(301) 596-4649
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D28934 MD Primary

Addresses

Primary practice location

5209 Eliots Oak Rd
Columbia, MD 21044-1826

Mailing address

5209 Eliots Oak Rd
Columbia, MD 21044-1826
Phone (240) 460-0529

Other names 1

  • Dr. Rose -Marie Sylla Professional name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D28934MDMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Community Health Center, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Peoples Community Health Center, Inc Past Accepting new patients

Organizations & group practices 3

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1346401189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 ELIOTS OAK RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441826",
            "telephone_number": "240-460-0529",
            "fax_number": "301-596-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 ELIOTS OAK RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441826",
            "telephone_number": "240-460-0529",
            "fax_number": "301-596-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JEAN SYLLA",
        "first_name": "ROSE - MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D28934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE -MARIE",
            "last_name": "SYLLA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.