Active NPI
Dorothy Ranson Outten, PA-C
- Medical Physician Assistant
- Randallstown, MD
National Provider Identifier
1376510693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0000871
- Practice address
- Lifeline Urgent Care of Randallstown
8507 Liberty Road
Randallstown, MD 21133 - Phone
- (410) 496-9105
- Fax
- (410) 496-9109
- NPI assigned
- Mar 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0000871 | MD | Primary |
Addresses
Primary practice location
Lifeline Urgent Care of Randallstown
8507 Liberty Road
Randallstown, MD 21133
Mailing address
Lifeline Urgent Care of Randallstown
8507 Liberty Road
Randallstown, MD 21133
Phone (410) 496-9105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0000871 | Other | MD | PA CERTIFICATE |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0000871 | MD | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1376510693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LIFELINE URGENT CARE OF RANDALLSTOWN",
"address_2": "8507 LIBERTY ROAD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "21133",
"telephone_number": "410-496-9105",
"fax_number": "410-496-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LIFELINE URGENT CARE OF RANDALLSTOWN",
"address_2": "8507 LIBERTY ROAD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "21133",
"telephone_number": "410-496-9105",
"fax_number": "410-496-9109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTTEN",
"first_name": "DOROTHY",
"middle_name": "RANSON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-06",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0000871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA CERTIFICATE",
"identifier": "C0000871",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.