Active NPI
Michael Vincent Attardi, MD
- Gynecology Physician
- Hagerstown, MD
National Provider Identifier
1407821838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- DOO67330
- Practice address
- 249 Mill St
Hagerstown, MD 21740-6114 - Phone
- (301) 733-9234
- NPI assigned
- Feb 20, 2006
- Last updated
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MA21635 | NJ | |
| Gynecology Physician | 207VG0400X | DOO67330 | MD | Primary |
Addresses
Primary practice location
249 Mill St
Hagerstown, MD 21740-6114
Mailing address
249 Mill St
Hagerstown, MD 21740-6114
Phone (301) 733-9234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOO67330 | MD | MD | Gynecology Physician |
| MA21635 | NJ | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1407821838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406114",
"telephone_number": "301-733-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406114",
"telephone_number": "301-733-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTARDI",
"first_name": "MICHAEL",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "MA21635",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "DOO67330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.