NPIMap

Organization Active NPI

Maryland Oncology Hematology, P.a.

  • Clinical Psychologist
  • Columbia, MD
National Provider Identifier
1649879362
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARYLAND ONCOLOGY HEMATOLOGY, P.A.
Practice address
10710 Charter Dr Ste G020
Columbia, MD 21044-3257
Phone
(410) 964-2212
Fax
(410) 964-0380
NPI assigned
Oct 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Lisa Talbott
Title
Practice Director
Phone
(410) 952-8421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

10710 Charter Dr Ste G020
Columbia, MD 21044-3257

Mailing address

11720 Beltsville Dr Ste 300
Beltsville, MD 20705-3119
Phone (410) 241-1657

Other practice location 1

810 Bestgate Rd Ste 400
Annapolis, MD 21401-3033
Phone (410) 897-6200

Other practice location 2

9905 Medical Center Dr Ste 200
Rockville, MD 20850-6535
Phone (301) 424-6231

Other identifiers 3

IdentifierTypeStateIssuer
400899500MedicaidMD
400899507MedicaidMD
400899516MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Maryland Oncology Hematology PA38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1649879362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 BELTSVILLE DR STE 300",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053119",
            "telephone_number": "410-241-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE G020",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443257",
            "telephone_number": "410-964-2212",
            "fax_number": "410-964-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Bestgate Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013033",
            "country_code": "US",
            "telephone_number": "410-897-6200",
            "fax_number": "410-266-7637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9905 Medical Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506535",
            "country_code": "US",
            "telephone_number": "301-424-6231",
            "fax_number": "301-294-4648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND ONCOLOGY HEMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "410-952-8421"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400899500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400899507",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400899516",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.