Mid-Atlantic Long Term Care of Western Maryland, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

11001 Issued in MD

Legal business name

MID-ATLANTIC LONG TERM CARE OF WESTERN MARYLAND, LLC

Practice address

706 E Alder St
Oakland, MD 21550-3554

Phone

(301) 334-2319

Fax

(301) 334-3345

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Rifkin, M.D.NPI 1457380834

Title

Managing Member

Phone

(410) 668-3808

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Scott M Rifkin, M.D.

  • Internal Medicine Physician
  • Towson, MD
  • NPI 1457380834
  NPD (past) Authorized official

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1568401883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E ALDER ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215503554",
            "telephone_number": "301-334-2319",
            "fax_number": "301-334-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E ALDER ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215503554",
            "telephone_number": "301-334-2319",
            "fax_number": "301-334-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC LONG TERM CARE OF WESTERN MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "RIFKIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-668-3808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "11001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020980900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407949300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debora Kiessel Medlin, P.T.
• Melissa Diane Mellinger, CPHT
• Merciful Mercy Support Group Inc
• Jessica Nichole Meyers, CRNP
• Tyler Michael
• Midatlantic Nurse Advocacy Group LLC
• Mary Ruth Miller, FNP-C
• Paul Daniel Miller, D.O.
• Shelby Lynn Miller, PHARMD
• Susan J Mills, CAC, AD, CPP

• Skilled Nursing Facility in Oakland, MD
• Providers in Oakland, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.