More With Doc C, LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

D28907 Issued in MD

Legal business name

MORE WITH DOC C, LLC

Practice address

72 Greene Street
Cumberland, MD 21502-2150

Phone

(240) 330-2430

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Mary Jo Cannon, MDNPI 1619216835

Title

Medical Director

Phone

(301) 331-4313

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Jo Cannon, MD

  • Addiction Medicine (Family Medicine) Physician
  • Gaithersburg, MD
  • NPI 1619216835
  NPD (past) Authorized official

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1346736626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 POTOMAC AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423440",
            "telephone_number": "301-331-7569",
            "fax_number": "800-313-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 GREENE STREET",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022150",
            "telephone_number": "240-330-2430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 East Antietam Street",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217402174",
            "country_code": "US",
            "telephone_number": "240-330-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORE WITH DOC C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-331-4313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MD",
            "license": "D28907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronna Mathias Monseau, M.D/
• Melissa Moore
• Bobbi Michelle Moose, DDS, MPH
• David K Moose, D.D.S., M.D.
• Molly Delores Moran, CRNP
• Lisa Maureen Moreland, CRNP
• Christopher Morin, PT
• Connie Jo Morris, MSN, CRNP, FNP-BC
• Mary Lou Mosbey, LCSW-C
• Michael Motter, PSY.D

• Addiction Psychiatry Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Addiction Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.