Active NPI
Emily Windham
- Physician Assistant
- Baltimore, MD
National Provider Identifier
1619760493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0006688
- Practice address
- 40 S Dundalk Ave
Baltimore, MD 21222-4267 - Phone
- (000) 000-0000
- NPI assigned
- May 26, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0006688 | MD | Primary |
Addresses
Primary practice location
40 S Dundalk Ave
Baltimore, MD 21222-4267
Mailing address
40 S Dundalk Ave Ste G1
Baltimore, MD 21222-4209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0006688 | MD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1619760493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 S DUNDALK AVE STE G1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212224209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S DUNDALK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212224267",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDHAM",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0006688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.