Carolyn J Pass, M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0010952 Issued in MD

Legal business name

CAROLYN J PASS, M.D., P.A.

Practice address

1001 Pine Heights Ave
Suite 301
Baltimore, MD 21229-5208

Phone

(410) 525-1515

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Joan Pass, M.D.

Title

President

Phone

(410) 525-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1447567466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE",
            "address_2": "SUITE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295208",
            "telephone_number": "410-525-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE",
            "address_2": "SUITE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295208",
            "telephone_number": "410-525-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN J PASS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "PASS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-525-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0010952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082521200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.