Maryland Ivf Fertility Health & Wellness Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D0060312 Issued in MD

Legal business name

MARYLAND IVF FERTILITY HEALTH & WELLNESS CENTER

Doing business as

Maryland Ivf

Practice address

11055 Little Patuxent Pkwy
Columbia, MD 21044-2896

Phone

(410) 964-2229

Fax

(410) 964-0009

NPI assigned

Feb 3, 2010

Last updated

Feb 3, 2010By 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. Diana P Broomfield, M.D.

Title

Medical Director

Phone

(410) 964-2229

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MARYLAND IVF Doing business as

Tax ID family

Maryland Ivf2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Maryland Ivf Health & Wellness Center

  dba Maryland IVF

  • Medical Specialty Clinic/Center
  • Columbia, MD
  • NPI 1811224967
  NPD tax ID

Locations

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1427380302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 BENDIX RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451832",
            "telephone_number": "410-964-2229",
            "fax_number": "410-964-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442896",
            "telephone_number": "410-964-2229",
            "fax_number": "410-964-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND IVF FERTILITY HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "BROOMFIELD",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-964-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "DC",
            "license": "MD034987",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0060312",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101234644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "114403690265",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYLAND IVF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryland Family Care, Inc.
• Maryland Family Care, Inc.
• Maryland Health, Wellness, and Rehabilitation, LLC
• Maryland Home Care of Howard County, LLC (Griswold Home Care)
• Maryland Infectious Disease Clinic, LLC
• Maryland Ivf Health & Wellness Center (Maryland IVF)
• Maryland Lip and Tongue Tie Center LLC (Maryland Lip & Tongue Tie Center)
• Maryland Neurological Center, LLC
• Maryland Neuromuscular Center LLC
• Maryland Oncology Hematology P.a.

• Medical Specialty Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.