Organization Active NPI

Letitia W. Short M.D. LLC

  • Health Service Clinic/Center
  • Towson, MD
National Provider Identifier
1598913857
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
D0061184 Issued in MD
Legal business name
LETITIA W. SHORT M.D. LLC
Practice address
901 Dulaney Valley Rd
Dulaney Center II, Suite #101
Towson, MD 21204-2600
Phone
(410) 337-2707
Fax
(410) 337-2841
NPI assigned
Aug 28, 2008
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Letitia W. Short, M.D.
Title
Physician
Phone
(410) 337-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X D0061184 MD Primary

Addresses

Primary practice location

901 Dulaney Valley Rd
Dulaney Center II, Suite #101
Towson, MD 21204-2600

Mailing address

901 Dulaney Valley Rd
Dulaney Center II, Suite #101
Towson, MD 21204-2600
Phone (410) 337-2707

National Provider Directory

National Provider Directory

Locations

4000 Annapolis Rd
Ste 201
Halethorpe, MD 21227
Phone (410) 636-2222

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1598913857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DULANEY VALLEY RD",
            "address_2": "DULANEY CENTER II, SUITE #101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042600",
            "telephone_number": "410-337-2707",
            "fax_number": "410-337-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DULANEY VALLEY RD",
            "address_2": "DULANEY CENTER II, SUITE #101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042600",
            "telephone_number": "410-337-2707",
            "fax_number": "410-337-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETITIA W. SHORT M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-337-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "D0061184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.