Organization Active NPI

Mt. Washington Pediatric Hospital Inc.

Doing business as Mt. Washington Physicians Group

  • Pediatrics Physician
  • Largo, MD
National Provider Identifier
1407682503
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MT. WASHINGTON PEDIATRIC HOSPITAL INC.
Doing business as
Mt. Washington Physicians Group
Practice address
901 Harry S Truman Dr N FL 8
Largo, MD 20774-5477
Phone
(410) 578-8600
NPI assigned
Sep 13, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MT. WASHINGTON PEDIATRIC HOSPITAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mary Deborah Miller
Title
Chief Financial Officer
Phone
(410) 578-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

901 Harry S Truman Dr N FL 8
Largo, MD 20774-5477

Mailing address

1708 W Rogers Ave
Baltimore, MD 21209-4545
Phone (410) 578-8600

Other names 1

  • Mt. Washington Physicians Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mt Washington Pediatric Hospital8 organizations share this tax ID, including this one
Part of
Mt Washington Pediatric Hospital

Other organizations with this tax ID 7

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

Locations

901 Harry S Truman Dr N
Fl 8
Largo, MD 20774
Phone (240) 677-1800

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1407682503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W ROGERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094545",
            "telephone_number": "410-578-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARRY S TRUMAN DR N FL 8",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745477",
            "telephone_number": "410-578-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. WASHINGTON PEDIATRIC HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MT. WASHINGTON PEDIATRIC HOSPITAL INC.",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "410-578-5163"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Washington Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.