NPIMap

Organization Active NPI

Memorial Hospital and Medical Center of Cumberland, Inc.

  • Trauma Surgery Physician
  • Cumberland, MD
National Provider Identifier
1700970829
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.
Practice address
600 Memorial Ave
Cumberland, MD 21502-3765
Phone
(301) 723-4000
Fax
(301) 723-4939
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
W. Gary Miller
Title
Director, Business Operations
Phone
(301) 723-1615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

600 Memorial Ave
Cumberland, MD 21502-3765

Mailing address

600 Memorial Ave
Cumberland, MD 21502-3765
Phone (301) 723-4000

Other identifiers 4

IdentifierTypeStateIssuer
J536OtherDCFEDERAL BC BS
0066418000MedicaidWV
KEY8TROtherMDCAREFIRST BC BS
C13509OtherMDTRAVELERS MEDICARE

Other names 1

  • Western Maryland Trauma Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital9 organizations share this tax ID, including this one
Part of
Memorial Hospital

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1700970829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "301-723-4000",
            "fax_number": "301-723-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "301-723-4000",
            "fax_number": "301-723-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL AND MEDICAL CENTER OF CUMBERLAND, INC.",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "301-723-1615"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BC BS",
            "identifier": "J536",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066418000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "KEY8TR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "C13509",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Maryland Trauma Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 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.