Individual provider Active NPI

Robert Knodell, M.D.

  • Gastroenterology Physician
  • Towson, MD
National Provider Identifier
1710910161
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D15523 Issued in MD
Practice address
7401 Osler Dr
Suite 210
Towson, MD 21204-7673
Phone
(410) 296-0033
Fax
(410) 296-0186
NPI assigned
Jul 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D15523 MD Primary

Addresses

Primary practice location

7401 Osler Dr
Suite 210
Towson, MD 21204-7673

Mailing address

7401 Osler Dr
Suite 210
Towson, MD 21204-7673
Phone (410) 296-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710910161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR",
            "address_2": "SUITE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047673",
            "telephone_number": "410-296-0033",
            "fax_number": "410-296-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR",
            "address_2": "SUITE 210",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047673",
            "telephone_number": "410-296-0033",
            "fax_number": "410-296-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODELL",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D15523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.