A Womans Choice OB GYN LLC
Organization Active NPI Specialist · Randallstown, MD
NPI 1629129796 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1629129796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- D050984 (MD)
- Legal business name
- A WOMANS CHOICE OB GYN LLC
- Practice address
- 5310 Old Court Rd Ste 305
Randallstown, MD 21133-6202 - Phone
- (410) 655-6900
- Fax
- (410) 655-5122
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Karen Y. Perkins, M.D.
- Title
- Owner
- Phone
- (410) 655-6900
Practitioners 1
-
Karen Y Perkins, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050706000540 | MD | Part B Supplier - Clinic/Group Practice | 4385680834 |
Receives reassigned benefits from 1 practitioner Practice locations: Randallstown, MD |
National Provider Directory
Locations
315 N Calvert St
Bldg 2ND
Baltimore, MD 21202
Phone (410) 655-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | D050984 | MD | Yes |
Addresses
Primary practice location
5310 Old Court Rd Ste 305
Randallstown, MD 21133-6202
Mailing address
5310 Old Court Rd Ste 305
Randallstown, MD 21133-6202
Phone (410) 655-6900
Other practice location 1
5400 Old Court Rd
Suite 207
Randallstown, MD 21133-5100
Phone (410) 655-6900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741410200 | Medicaid | MD |
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.