Green Spring Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0054653 Issued in MD

Legal business name

GREEN SPRING INTERNAL MEDICINE, LLC

Practice address

2360 W Joppa Rd
Suite 210
Lutherville, MD 21093-4624

Phone

(410) 583-2890

Fax

(410) 583-2891

NPI assigned

May 9, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Holly R. Dahlman, M.D.NPI 1962464552

Title

Member

Phone

(410) 608-8964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGJBAA

Practitioners 6

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.

• Holly Ryerson Dahlman, M.D.

  • Internal Medicine Physician
  • Lutherville, MD
  • NPI 1962464552
  Medicare reassignment Care Compare group NPD Authorized official
• Zachary Nayak

  • Internal Medicine Physician
  • Lutherville, MD
  • NPI 1861782187
  Medicare reassignment Care Compare group NPD
• Marie-Alberte Boursiquot, M.D

  • Internal Medicine Physician
  • Ellicott City, MD
  • NPI 1578571618
  Medicare reassignment Care Compare group
• Michael Underwood Brady, M.D.

  • Internal Medicine Physician
  • Timonium, MD
  • NPI 1932561172
  Medicare reassignment NPD
• Deanna Joy Shapiro, PA-C

  • Physician Assistant
  • Columbia, MD
  • NPI 1518362441
  Medicare reassignment
• Kathy Jane Weishaar, MD

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1629031828
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558310490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD",
            "address_2": "SUITE 210",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934624",
            "telephone_number": "410-583-2890",
            "fax_number": "410-583-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD",
            "address_2": "SUITE 210",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934624",
            "telephone_number": "410-583-2890",
            "fax_number": "410-583-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SPRING INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAHLMAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-608-8964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Health Medical Group MD PC
• Greater Baltimore Medical Center, Inc. (GBMC Gastroenterology at JHH Greenspring SurgCenter)
• Greater Chesapeake Hand Specialists, P.a.
• Greater Chesapeake Surgery Center LLC (Greater Chesapeake Surgery Center)
• Green Spring Dental Care
• Green Valley Psychological Associates, LLC
• Samuel Greenberg, PSYD
• Amanda Greene, PT
• Peter S Greene, MD
• Greenspring Meridian LP (Brightwood Center)

• 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.