PM Familymed, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PM FAMILYMED, LLC

Practice address

1208 Reisterstown Rd
Pikesville, MD 21208-3801

Phone

(410) 841-8099

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Ethan Hersko, PA-C

Title

Owner

Phone

(410) 841-8099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1710427489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083801",
            "telephone_number": "410-841-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083801",
            "telephone_number": "410-841-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM FAMILYMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "HERSKO",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-841-8099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pleasant Behavioral Health Systems LLC
• Joel Franklin Pleeter, M.D.
• Andrew James Plempel
• Diana Pliner
• Kelsey Plumley
• Elizabeth Poissant
• Valentina Polanco
• Olga Polenur, R.PH.
• Solei Fides-Gabriella Poles
• Joshua Pollack

• Clinic/Center in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.