Active NPI
Laura Ann Jawidzik, MD
- Neurology Physician
- Silver Spring, MD
National Provider Identifier
1447418066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101258293
- Practice address
- 10903 New Hampshire Ave BLDG 224241
Silver Spring, MD 20903-1058 - Phone
- (240) 402-4349
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101258293 | VA | Primary |
Addresses
Primary practice location
10903 New Hampshire Ave BLDG 224241
Silver Spring, MD 20903-1058
Mailing address
10903 New Hampshire Ave BLDG 224241
Silver Spring, MD 20903-1058
Phone (240) 402-4349
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 |
|---|---|---|---|
| 0101258293 | VA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1447418066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10903 NEW HAMPSHIRE AVE BLDG 224241",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031058",
"telephone_number": "240-402-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10903 NEW HAMPSHIRE AVE BLDG 224241",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031058",
"telephone_number": "240-402-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWIDZIK",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101258293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.