Organization Active NPI

Karen L Canter MD PA

  • Family Medicine Physician
  • Port Deposit, MD
National Provider Identifier
1467475426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D57520 Issued in MD
Legal business name
KAREN L CANTER MD PA
Practice address
20 Craigtown Rd
Suite 106
Port Deposit, MD 21904-1801
Phone
(410) 398-4679
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jessica Cornell
Title
Credentialing
Phone
(410) 398-4679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D57520 MD Primary

Addresses

Primary practice location

20 Craigtown Rd
Suite 106
Port Deposit, MD 21904-1801

Mailing address

213 North St
Elkton, MD 21921-5512
Phone (410) 398-4679

National Provider Directory

National Provider Directory

Locations

20 Craigtown Rd
Ste 106
Port Deposit, MD 21904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1598054400000",
    "number": "1467475426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 NORTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215512",
            "telephone_number": "410-398-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRAIGTOWN RD",
            "address_2": "SUITE 106",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219041801",
            "telephone_number": "410-398-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN L CANTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "410-398-4679"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D57520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Deposit, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.