Letitia Winona Short, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0061184 Issued in MD

Practice address

164 W 122ND St Apt 3
New York, NY 10027-5507

Phone

(443) 986-3001

NPI assigned

Jun 6, 2007

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Richard E Layton MD PA

  • Legal Medicine
  • Towson, MD
  • NPI 1083865018
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1578766804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 122ND ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275507",
            "telephone_number": "443-986-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 122ND ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100275507",
            "telephone_number": "443-986-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "LETITIA",
        "middle_name": "WINONA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0061184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Short, LPN
• Elizabeth Mackenzie Short, PA-C
• Jillian Michele Short
• Julie Ann Short, M.A., CCC-SLP
• Kristin Hughes Short, LMHC
• Madeline Short
• Skylar Short
• Susanne Short, NCPSYA
• Sarah Shortall, MD
• Jennifer Jude Shortell, LCSW

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.