Mary Gorety Oyiro

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP4672 Issued in MD

Practice address

1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126

Phone

(410) 717-5005

NPI assigned

Feb 28, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MGM Healthcare Services LLC

  • Physical Disabilities Residential Treatment Facility
  • Owings Mills, MD
  • NPI 1801692579
  NPD Authorized official

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1548067309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 REISTERSTOWN RD STE 350",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087126",
            "telephone_number": "410-717-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 REISTERSTOWN RD STE 350",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087126",
            "telephone_number": "410-717-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYIRO",
        "first_name": "MARY GORETY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP4672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phylicia Owens
• Tiffany Nicole Owens
• Olayinka Yemi Owolabi
• Masamba-Nti Owona
• Omolola Oyegbami
• Lalah Ariana Pabon-Bryant
• Joel Pacarro, RN
• Pacesetter Health Systems Inc.
• Pacesetter Healthcare Residential Service Agency.LLC
• Alexander Pack

• Licensed Practical Nurse in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.