Active NPI
Michael J. Dodd, M.D., P.a.
- Ophthalmology Physician
- Prince Frederick, MD
National Provider Identifier
1639187875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MICHAEL J. DODD, M.D., P.A.
- Doing business as
- Maryland Eye Associates
- Practice address
- 800 Prince Frederick Blvd.
Prince Frederick, MD 20678 - Phone
- (410) 535-2270
- Fax
- (410) 535-5749
- NPI assigned
- Aug 4, 2006
- 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
- Mr. Donald Bartnick
- Title
- Chief Executive Officer
- Phone
- (410) 535-2270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
800 Prince Frederick Blvd.
Prince Frederick, MD 20678
Mailing address
800 Prince Frederick Blvd.
Prince Frederick, MD 20678
Phone (410) 535-2270
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC0607 | Other | MD | RAILROAD MEDICARE |
| C074 | Other | DC | GHMSI |
| 093861102 | Medicaid | MD | |
| 477099 | Other | MD | AETNA HMO |
| 5502048 | Other | MD | AETNA PPO |
| KN35MI | Other | MD | CAREFIRST BCBS |
Other names 1
- Maryland Eye Associates
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Prince Frederick, MD
- NPI 1255347050
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317168000000",
"number": "1639187875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PRINCE FREDERICK BLVD.",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "20678",
"telephone_number": "410-535-2270",
"fax_number": "410-535-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRINCE FREDERICK BLVD.",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "20678",
"telephone_number": "410-535-2270",
"fax_number": "410-535-5749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J. DODD, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2011-09-28",
"status": "A",
"authorized_official_last_name": "BARTNICK",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "410-535-2270",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC0607",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMSI",
"identifier": "C074",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093861102",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "477099",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5502048",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "KN35MI",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maryland Eye Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.