Active NPI
Mary Elizabeth Wroth, M.D.
- Pediatrics Physician
- Easton, MD
National Provider Identifier
1629134580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0059767
- Practice address
- 606 Dutchmans LN
Easton, MD 21601-3346 - Phone
- (410) 763-8272
- Fax
- (410) 763-6014
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0059767 | MD | Primary |
Addresses
Primary practice location
606 Dutchmans LN
Easton, MD 21601-3346
Mailing address
606 Dutchmans LN
Easton, MD 21601-3346
Phone (410) 763-8272
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189116 | Other | DE | COVENTRY |
| 614339 | Other | NCPPO | |
| 61890602 | Other | MD | CAREFIRST |
| 1315279 | Other | CIGNA | |
| W4320006 | Other | DC | BLUE CHOICE |
| 124664 | Other | MD | PRIORITY PARTNERS |
| 93721 | Other | MD | AMERIGROUP |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0059767 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629134580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 DUTCHMANS LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013346",
"telephone_number": "410-763-8272",
"fax_number": "410-763-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 DUTCHMANS LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013346",
"telephone_number": "410-763-8272",
"fax_number": "410-763-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WROTH",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0059767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "189116",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "614339",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "61890602",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1315279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "W4320006",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY PARTNERS",
"identifier": "124664",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "93721",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.