Organization Active NPI

Laurie J. Poss, M.D. P.a.

  • Family Medicine Physician
  • Annapolis, MD
National Provider Identifier
1629114657
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0032567 Issued in MD
Legal business name
LAURIE J. POSS, M.D. P.A.
Practice address
133 Defense Highway
Suite 211
Annapolis, MD 21401-7378
Phone
(410) 571-0904
Fax
(410) 571-0905
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Laurie Jane Poss, M.D.NPI 1376569525
Title
Owner
Phone
(410) 571-0904

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X D0032567 MD Primary
Adolescent Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0000X D0032567 MD
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0401X D00032567 MD

Addresses

Primary practice location

133 Defense Highway
Suite 211
Annapolis, MD 21401-7378

Mailing address

133 Defense Highway
Suite 211
Annapolis, MD 21401-7378
Phone (410) 571-0904

Other identifiers 1

IdentifierTypeStateIssuer
383821800MedicaidMD

Other names 1

  • Addictions Treatment Center Other name

National Provider Directory

National Provider Directory

Locations

133 Defense Hwy
Ste 211
Annapolis, MD 21401
Phone (410) 571-0904

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1629114657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HIGHWAY",
            "address_2": "SUITE 211",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017378",
            "telephone_number": "410-571-0904",
            "fax_number": "410-571-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DEFENSE HIGHWAY",
            "address_2": "SUITE 211",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017378",
            "telephone_number": "410-571-0904",
            "fax_number": "410-571-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE J. POSS, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "POSS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-571-0904",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0032567",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "MD",
            "license": "D0032567",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D00032567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383821800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addictions Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.