Organization Active NPI

Maryland Medical Center, LLC

  • Internal Medicine Physician
  • Nottingham, MD
National Provider Identifier
1366986739
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0034931 Issued in MD
Legal business name
MARYLAND MEDICAL CENTER, LLC
Practice address
8100 Sandpiper Cir Ste 100
Nottingham, MD 21236-5028
Phone
(410) 529-8334
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Dr. Ann C Morrill, M.D.NPI 1104928225
Title
Director, Resident Agent
Phone
(410) 529-8334

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0034931 MD Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0034931 MD

Addresses

Primary practice location

8100 Sandpiper Cir Ste 100
Nottingham, MD 21236-5028

Mailing address

8100 Sandpiper Cir Ste 100
Nottingham, MD 21236-5028
Phone (410) 529-8334

National Provider Directory

National Provider Directory

Locations

8100 Sandpiper Cir
Ste 100
Nottingham, MD 21236
Phone (410) 529-8334

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": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1366986739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 SANDPIPER CIR STE 100",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365028",
            "telephone_number": "410-529-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SANDPIPER CIR STE 100",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365028",
            "telephone_number": "410-529-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "MORRILL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR, RESIDENT AGENT",
        "authorized_official_telephone_number": "410-529-8334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0034931",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0034931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.