NPIMap

Organization Active NPI

Savopoulos Professional, LLC

Doing business as Cornerstone Family Medicine

  • Family Medicine Physician
  • Oakland, MD
National Provider Identifier
1396780094
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D42464 Issued in MD
Legal business name
SAVOPOULOS PROFESSIONAL, LLC
Doing business as
Cornerstone Family Medicine
Practice address
255 N 4TH St
Suite 1
Oakland, MD 21550-1375
Phone
(301) 533-1046
Fax
(301) 533-1049
NPI assigned
Jun 17, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Sotiere Savopoulos, M.D.NPI 1528094539
Title
Owner
Phone
(301) 533-1046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D42464 MD Primary

Addresses

Primary practice location

255 N 4TH St
Suite 1
Oakland, MD 21550-1375

Mailing address

255 N 4TH St
Suite 1
Oakland, MD 21550-1375
Phone (301) 533-1046

Other names 1

  • Cornerstone Family Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1396780094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 4TH ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501375",
            "telephone_number": "301-533-1046",
            "fax_number": "301-533-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 4TH ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501375",
            "telephone_number": "301-533-1046",
            "fax_number": "301-533-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVOPOULOS PROFESSIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SAVOPOULOS",
        "authorized_official_first_name": "SOTIERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-533-1046",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D42464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.