Ettaly Franke Jobes, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0058930 Issued in MD

Practice address

605 Global Way
Suite 119 Arundel Pediatrics P.a.
Linthicum, MD 21090

Phone

(410) 789-7337

Fax

(410) 789-0425

NPI assigned

Aug 8, 2006

Last updated

Dec 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Ettaly Kara Franke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1538179130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GLOBAL WAY",
            "address_2": "SUITE 119 ARUNDEL PEDIATRICS P. A.",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "21090",
            "telephone_number": "410-789-7337",
            "fax_number": "410-789-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLOBAL WAY",
            "address_2": "SUITE 119 ARUNDEL PEDIATRICS P.A.",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "21090",
            "telephone_number": "410-789-7337",
            "fax_number": "410-789-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBES",
        "first_name": "ETTALY",
        "middle_name": "FRANKE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0058930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400024200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETTALY",
            "last_name": "FRANKE",
            "middle_name": "KARA",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatrics Physician in Linthicum, MD
• Providers in Linthicum, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.