Medstar Family Choice, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MEDSTAR FAMILY CHOICE, INC

Practice address

8094 Sandpiper Cir
Suite O
Baltimore, MD 21236-4907

Phone

(410) 933-3014

Fax

(410) 933-3019

NPI assigned

Aug 19, 2009

Organization subpart

Yes

Parent organization

MEDSTAR HEALTHAs reported in NPPES

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

Authorized official

Name

Mrs. Lesley Wallace

Title

Director of Operations

Phone

(410) 933-3013

Specialties & licenses 1

Addresses

Part of

Medstar Health Inc

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1669604930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8094 SANDPIPER CIR",
            "address_2": "SUITE O",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364907",
            "telephone_number": "410-933-3014",
            "fax_number": "410-933-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8094 SANDPIPER CIR",
            "address_2": "SUITE O",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364907",
            "telephone_number": "410-933-3014",
            "fax_number": "410-933-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR FAMILY CHOICE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSTAR HEALTH",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "410-933-3013",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Murray Mednick
• Kesta Medoit, LCPC
• Medop Behavioral Health Associates of Maryland PC
• Medspa M.D. LLC
• Medstar
• Medstar Franklin Square Medical Center
• Medstar Franklin Square Medical Center
• Medstar Franklin Square Medical Center
• Medstar Franklin Square Medical Center
• Medstar Franklin Square Physicians LLC

• Exclusive Provider Organization in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Exclusive Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.