Active NPI
Cylburn E Soden M.D.P.a
- Specialist
- Laurel, MD
National Provider Identifier
1598958084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0024150
- Legal business name
- CYLBURN E SODEN M.D.P.A
- Practice address
- 13920 Baltimore Ave
Laurel, MD 20707-5009 - Phone
- (301) 776-1094
- Fax
- (301) 776-0456
- NPI assigned
- Aug 20, 2007
- Last updated
- Aug 20, 2007
- 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
- Mrs. Virginia Doris Soden, R.N.,M.S.
- Title
- Practice Manager
- Phone
- (301) 776-1094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0024150 | MD | Primary |
Addresses
Primary practice location
13920 Baltimore Ave
Laurel, MD 20707-5009
Mailing address
13920 Baltimore Ave
Laurel, MD 20707-5009
Phone (301) 776-1094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13920 Baltimore Ave
Laurel, MD 20707
Phone (301) 776-0743
Practitioners & affiliated clinicians
Practitioners 2
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": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1598958084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13920 BALTIMORE AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075009",
"telephone_number": "301-776-1094",
"fax_number": "301-776-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13920 BALTIMORE AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075009",
"telephone_number": "301-776-1094",
"fax_number": "301-776-0456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYLBURN E SODEN M.D.P.A",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "SODEN",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "DORIS",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "301-776-1094",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N.,M.S."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0024150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.