Patuxent Endocrinology Associates, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

D79447 Issued in MD

Legal business name

PATUXENT ENDOCRINOLOGY ASSOCIATES, LLC

Practice address

205 Steeple Chase Dr
307
Prince Frederick, MD 20678-4053

Phone

(443) 432-3020

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Reena M Thomas, M.D.NPI 1154640423

Title

C.E.O

Phone

(443) 432-3020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reena Mary Thomas, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Prince Frederick, MD
  • NPI 1154640423

  Endocrinology, Diabetes & Metabolism, MD

  Medicare reassignment NPD Authorized official
• Janet H McDonald, RD, LDN

  • Registered Dietitian
  • Prince Frederick, MD
  • NPI 1265891329
  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1427445733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2424",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206782424",
            "telephone_number": "443-432-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STEEPLE CHASE DR",
            "address_2": "307",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784053",
            "telephone_number": "443-432-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATUXENT ENDOCRINOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "REENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "443-432-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D79447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juhi Patel, DPM
• Uday Raman Patel, M.D.
• Pathways Inc
• Pathways Inc
• Pathways Inc
• Patuxent Rheumatology Associates,LLC
• Tracy Payne
• Katelynn Pearson
• Renee Arlene Perry, LCSW-C
• Personalized Therapy, LLC

• All providers in Prince Frederick, MD
• Endocrinology, Diabetes & Metabolism Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.