NPIMap

Organization Active NPI

Robin Bissell, M.D, LLC

  • Clinic/Center
  • Grantsville, MD
National Provider Identifier
1467475145
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D0034231 Issued in MD
Legal business name
ROBIN BISSELL, M.D, LLC
Practice address
124 Miller St
Grantsville, MD 21536-0718
Phone
(301) 895-4270
Fax
(301) 895-4277
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Robin L. Bissell, M.D.
Title
Owner
Phone
(301) 895-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D0034231 MD Primary

Addresses

Primary practice location

124 Miller St
Grantsville, MD 21536-0718

Mailing address

124 Miller St
Grantsville, MD 21536-0718
Phone (301) 895-4270

Other identifiers 1

IdentifierTypeStateIssuer
287151300MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1467475145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MILLER ST",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215360718",
            "telephone_number": "301-895-4270",
            "fax_number": "301-895-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MILLER ST",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215360718",
            "telephone_number": "301-895-4270",
            "fax_number": "301-895-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN BISSELL, M.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "BISSELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-895-4270",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D0034231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287151300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.