Restorative Medicine and Aesthetics in Annapolis

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RESTORATIVE MEDICINE AND AESTHETICS IN ANNAPOLIS

Practice address

1321 Generals Hwy Ste 303
Crownsville, MD 21032-2060

Phone

(410) 858-1112

NPI assigned

Feb 12, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carmen Hiller, MDNPI 1891868113

Title

Director

Phone

(410) 858-1112

Specialties & licenses 2

Addresses

Other names 1

• Restorative Health LLC Other name

Locations

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.

• Carmen Rocio Hiller, MD

  • Family Medicine Physician
  • Crownsville, MD
  • NPI 1891868113
  NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1396509246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 GENERALS HWY STE 303",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322060",
            "telephone_number": "410-858-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 GENERALS HWY STE 303",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322060",
            "telephone_number": "410-858-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE MEDICINE AND AESTHETICS IN ANNAPOLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-858-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Health LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Crownsville, MD
• Providers in Crownsville, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.