Active NPI
Letitia W. Short M.D. LLC
- Health Service Clinic/Center
- Towson, MD
National Provider Identifier
1598913857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- D0061184
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Public Health & General Preventive Medicine Physician
- Baltimore, MD
- NPI 1114981164
General Practice
-
- Pediatric Allergy/Immunology Physician
- Towson, MD
- NPI 1699878603
-
- Surgery Physician
- Ellicott City, MD
- NPI 1578542593
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.