Personal Healthcare Providers, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0053364 Issued in MD

Legal business name

PERSONAL HEALTHCARE PROVIDERS, LLC

Practice address

10755 Falls Rd Ste 300
Lutherville, MD 21093-4522

Phone

(410) 616-7970

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Christine Queale

Title

Office Manager

Phone

(410) 616-7970

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1538349923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 FALLS RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934522",
            "telephone_number": "410-616-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 FALLS RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934522",
            "telephone_number": "410-616-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HEALTHCARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "QUEALE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-616-7970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ellyn Pederson, PH.D.
• Pediatric Consultants, P.a.
• Haritha Pendli, MD
• Kimberly Perrone, CRNP
• Jenna Persio, MS CCC-SLP
• Kirin Techawongtham Peterson, LGPC
• Linsey Petrucci
• Pho- Vital Signs
• Photodermatology Associates LLC
• Physiotherapy Associates Inc

• Internal Medicine Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.