NPIMap

Organization Active NPI

TB Medical LLC

  • Specialist
  • Lutherville, MD
National Provider Identifier
1679882401
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D50592 Issued in MD
Legal business name
TB MEDICAL LLC
Practice address
10753 Falls Rd
225
Lutherville, MD 21093-4535
Phone
(410) 583-2844
Fax
(410) 583-2841
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Eva McCann
Title
Administrator/Authorized Official
Phone
(410) 847-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D50592 MD Primary

Addresses

Primary practice location

10753 Falls Rd
225
Lutherville, MD 21093-4535

Mailing address

10753 Falls Rd
225
Lutherville, MD 21093-4535
Phone (410) 583-2844

National Provider Directory

National Provider Directory
Tax ID family
TB Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1679882401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "225",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-583-2844",
            "fax_number": "410-583-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "225",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-583-2844",
            "fax_number": "410-583-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TB MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "ADMINISTRATOR/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "410-847-3839"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D50592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.