Maryland Lung Associates PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MARYLAND LUNG ASSOCIATES PA

Practice address

3449 Wilkens Avenue
Suite 207
Balitimore, MD 21229

Phone

(410) 644-5112

Fax

(410) 644-6517

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Michael Smith, MDNPI 1386655074

Title

President Owner

Phone

(410) 644-5112

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Michael Smith, MD FCCP

  • Pulmonary Disease Physician
  • Baltimore, MD
  • NPI 1386655074
  Authorized official Same address or phone

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1679766950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVENUE",
            "address_2": "SUITE 207",
            "city": "BALITIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-644-5112",
            "fax_number": "410-644-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVENUE",
            "address_2": "SUITE 207",
            "city": "BALITIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-644-5112",
            "fax_number": "410-644-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND LUNG ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "410-644-5112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.