Active NPI
Partners Medical Group LLC
- Family Medicine Physician
- Cumberland, MD
National Provider Identifier
1669767331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D14865
- Legal business name
- PARTNERS MEDICAL GROUP LLC
- Practice address
- 200 Glenn St
Suite 201
Cumberland, MD 21502-2573 - Phone
- (301) 777-2696
- Fax
- (301) 777-1049
- NPI assigned
- Jun 10, 2011
- 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
- Dr. Robustiano J Barrera Jr., MD
- Title
- Medical Director
- Phone
- (941) 916-2168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D14865 | MD | Primary |
Addresses
Primary practice location
200 Glenn St
Suite 201
Cumberland, MD 21502-2573
Mailing address
200 Glenn St
Suite 302
Cumberland, MD 21502-2573
Phone (301) 777-2696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002011700 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
200 Glenn St
Ste 201
Cumberland, MD 21502
Phone (240) 580-1919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322006400000",
"number": "1669767331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GLENN ST",
"address_2": "SUITE 302",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022573",
"telephone_number": "301-777-2696",
"fax_number": "301-777-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GLENN ST",
"address_2": "SUITE 201",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022573",
"telephone_number": "301-777-2696",
"fax_number": "301-777-1049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-10",
"last_updated": "2011-11-23",
"status": "A",
"authorized_official_last_name": "BARRERA",
"authorized_official_first_name": "ROBUSTIANO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "941-916-2168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MD",
"license": "D14865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002011700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.