Organization Active NPI

Carroll Arthritis, PA

  • Rheumatology Physician
  • Westminster, MD
National Provider Identifier
1376637306
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
CARROLL ARTHRITIS, PA
Practice address
412 Malcolm Dr
Suite 206
Westminster, MD 21157-6115
Phone
(410) 848-0364
Fax
(410) 848-4037
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Robert Alan Shaw, M.D.
Title
Physician/Owner
Phone
(410) 848-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

412 Malcolm Dr
Suite 206
Westminster, MD 21157-6115

Mailing address

412 Malcolm Dr
Suite 206
Westminster, MD 21157-6115
Phone (410) 848-0364

Other names 1

  • Robert A Shaw, MD, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

412 Malcolm Dr
Ste 206
Westminster, MD 21157
Phone (410) 848-0364

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1376637306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MALCOLM DR",
            "address_2": "SUITE 206",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576115",
            "telephone_number": "410-848-0364",
            "fax_number": "410-848-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MALCOLM DR",
            "address_2": "SUITE 206",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576115",
            "telephone_number": "410-848-0364",
            "fax_number": "410-848-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL ARTHRITIS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "410-848-0364",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert A Shaw, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.