Maryann D. Moore, Mdpa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0031766 Issued in MD

Legal business name

MARYANN D. MOORE, MDPA

Practice address

300 Dorchester Ave
Cambridge, MD 21613-2420

Phone

(410) 228-2603

Fax

(410) 901-6080

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ann Moore, M.D.

Title

Owner

Phone

(410) 228-2603

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryjo Elizabeth Paul, FNP-C

  • Family Medicine Physician
  • Cambridge, MD
  • NPI 1023861929
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1639363559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DORCHESTER AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132420",
            "telephone_number": "410-228-2603",
            "fax_number": "410-901-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DORCHESTER AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132420",
            "telephone_number": "410-228-2603",
            "fax_number": "410-901-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANN D. MOORE, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-228-2603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0031766",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "C0000549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Marchetti
• Lisa Marshall, FNP
• Marshy Hope Family Services, LLC
• Julia Martin
• Tatyana Natasha Martin, MT-BC
• Maryland Addictions & Psych Inc
• Maryland Healthy Weighs, LLC
• Maryland Sportscare & Rehab LLC
• James G McAnulty, M.D.
• Mitchell Alton McDonald

• Internal Medicine Physician in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.