Organization Active NPI

Joyce W Neal MD PC

  • Specialist
  • Leonardtown, MD
National Provider Identifier
1508027236
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0050618 Issued in MD
Legal business name
JOYCE W NEAL MD PC
Practice address
23140 Moakley St
Suite #1
Leonardtown, MD 20650-2923
Phone
(301) 475-0145
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Ms. Angela Johnson
Title
Billing Office
Phone
(301) 769-2656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0050618 MD Primary

Addresses

Primary practice location

23140 Moakley St
Suite #1
Leonardtown, MD 20650-2923

Mailing address

PO Box 160
Loveville, MD 20656-0160
Phone (301) 475-0145

Other identifiers 1

IdentifierTypeStateIssuer
893103800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000919 MD Part B Supplier - Clinic/Group Practice 9739086000 Receives reassigned benefits from 1 practitioner
Practice locations: Leonardtown, MD

National Provider Directory

National Provider Directory
Tax ID family
Joyce W Neal MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30537 Potomac Way
Charlotte Hall, MD 20622
Phone (301) 290-1100

23140 Moakley St
Leonardtown, MD 20650
Phone (301) 475-0145

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1508027236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "LOVEVILLE",
            "state": "MD",
            "postal_code": "206560160",
            "telephone_number": "301-475-0145",
            "fax_number": "301-475-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 MOAKLEY ST",
            "address_2": "SUITE #1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502923",
            "telephone_number": "301-475-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCE W NEAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "301-769-2656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0050618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "893103800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.