Active NPI
Laurel Medical Associates, LLC
- Internal Medicine Physician
- Laurel, MD
National Provider Identifier
1609064047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0053235
- Legal business name
- LAUREL MEDICAL ASSOCIATES, LLC
- Practice address
- 13635 Baltimore Ave
Laurel, MD 20707-5095 - Phone
- (301) 497-0401
- Fax
- (301) 497-0402
- NPI assigned
- Oct 10, 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
- Dr. Darryl Anthony Hill, MD
- Title
- Medical Director
- Phone
- (301) 497-0401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0053235 | MD | Primary |
Addresses
Primary practice location
13635 Baltimore Ave
Laurel, MD 20707-5095
Mailing address
13635 Baltimore Ave
Laurel, MD 20707-5095
Phone (301) 497-0401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
13635 Baltimore Ave
Laurel, MD 20707
Phone (301) 497-0401
Interoperability endpoints
- https://api.platform.athenahealth.com/17239/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392940800000",
"number": "1609064047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13635 BALTIMORE AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075095",
"telephone_number": "301-497-0401",
"fax_number": "301-497-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13635 BALTIMORE AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075095",
"telephone_number": "301-497-0401",
"fax_number": "301-497-0402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL MEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2014-02-21",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "301-497-0401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "0053235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
- Laurel Lakes Primary Care, LLC
- Laurel Main Street Pharmacy
- Laurel Main Street Pharmacy Incorporated
- Laurel Main Street Pharmacy Incorporated
- Laurel MD Endoscopy ASC LLC
- Laurel Medical Center Pharmacy Inc
- Laurel Orthopedic & Medical Supplies, Inc
- Laurel Pediatric Dentistry
- Laurel Pediatrics
- Laurel Pharmacy II LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.