NPIMap

Organization Active NPI

Memorial Hospital and Medical Center of Cumberland Inc

Doing business as Memorial Hospital Physician Group

  • Internal Medicine Physician
  • Cumberland, MD
National Provider Identifier
1376688978
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND INC
Doing business as
Memorial Hospital Physician Group
Practice address
600 Memorial Ave
Cumberland, MD 21502-3765
Phone
(301) 723-1443
Fax
(301) 723-1480
NPI assigned
Feb 21, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Kimberly S Repac
Title
Sr VP Cfo
Phone
(301) 723-6414

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD Primary
Urology Physician 208800000X NU

Addresses

Primary practice location

600 Memorial Ave
Cumberland, MD 21502-3765

Mailing address

600 Memorial Ave
Cumberland, MD 21502-3765
Phone (301) 723-1443

Other identifiers 3

IdentifierTypeStateIssuer
CH1651OtherMDTRAVELERS MEDICARE
E458OtherDCBLUE CHOICE
KP01MEOtherMDCAREFIRST BC BS

Other names 1

  • Memorial Hospital Physician Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hunt Club9 organizations share this tax ID, including this one
Part of
Hunt Club

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1376688978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "301-723-1443",
            "fax_number": "301-723-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "301-723-1443",
            "fax_number": "301-723-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "REPAC",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "301-723-6414"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CH1651",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "E458",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "KP01ME",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.