Kenneth Margolis, M.D.,P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0014422 Issued in MD

Legal business name

KENNETH MARGOLIS, M.D.,P.A.

Practice address

9101 Franklin Square Dr
Suite 213
Baltimore, MD 21237-3936

Phone

(410) 687-0202

Fax

(410) 687-0985

NPI assigned

Apr 6, 2010

Organization subpart

Yes

Parent organization

KENNETH MARGOLIS, M.D.As reported in NPPES

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

Authorized official

Name

Ms. Jo Ann Smith

Title

Office Manager

Phone

(410) 687-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Kenneth Margolis Mdpa a

Locations

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1366767089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 FRANKLIN SQUARE DR",
            "address_2": "SUITE 213",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373936",
            "telephone_number": "410-687-0202",
            "fax_number": "410-687-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 FRANKLIN SQUARE DR",
            "address_2": "SUITE 213",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373936",
            "telephone_number": "410-687-0202",
            "fax_number": "410-687-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH MARGOLIS, M.D.,P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNETH MARGOLIS, M.D.",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-687-0202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0014422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008961300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Kennefick, LMSW
• Marissa Ann Kennell, PA-C
• Nicholas Andrew Kenner
• Kenneth M. Greene, M.D. & Associates
• Kenneth Margolis MD Ambulatory Endoscopy Surgical Center
• Kenneth Miller MD LLC
• Kenneth R Lippman MD PA
• Kenneth R. Lindyberg MD, PC
• Martha Obeng Kenney, MD
• James Kenniff

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.