NPIMap

Organization Active NPI

PR House Calls

  • Geriatric Medicine (Family Medicine) Physician
  • Bowie, MD
National Provider Identifier
1669985248
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
D00042719 Issued in MD
Legal business name
PR HOUSE CALLS
Practice address
14408 Woodmore Oaks CT
Bowie, MD 20721-1910
Phone
(301) 818-1243
Fax
(240) 435-2692
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Dr. Dawne Maria Carroll, MD
Title
Medical Director
Phone
(301) 818-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X D00042719 MD Primary

Addresses

Primary practice location

14408 Woodmore Oaks CT
Bowie, MD 20721-1910

Mailing address

12138 Central Ave # 953
Bowie, MD 20721-1910
Phone (301) 818-1243

Other identifiers 1

IdentifierTypeStateIssuer
182901700MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1669985248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 CENTRAL AVE # 953",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "301-818-1243",
            "fax_number": "240-435-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14408 WOODMORE OAKS CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "301-818-1243",
            "fax_number": "240-435-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-818-1243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D00042719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182901700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.