Individual provider Active NPI

Meghan Dale Landymore, PA-C

  • Physician Assistant
  • Timonium, MD
National Provider Identifier
1730468026
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004509 Issued in MD
Practice address
1830 York Rd
Timonium, MD 21093-5115
Phone
(410) 252-4015
Fax
(410) 252-7410
NPI assigned
Aug 4, 2011
Last updated
Jul 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004509 MD Primary

Addresses

Primary practice location

1830 York Rd
Timonium, MD 21093-5115

Mailing address

1519 N Caroline St
Baltimore, MD 21213-2803
Phone (860) 921-7396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130308000258 MD Practitioner - Physician Assistant 3870748296 Reassigns benefits to 4 organizations
I20150722003963 DC Practitioner - Physician Assistant 3870748296 Reassigns benefits to 3 organizations
I20250620000708 VA Practitioner - Physician Assistant 3870748296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Urgent Care, LLCGroup PAC ID 0749728681, 13 clinicians

Practice addresses (Care Compare)

22750 Newcut Rd
Suite D1B
Clarksburg, MD 20871-5333
Phone (301) 482-1000

9809 Main St
Suite 103
Damascus, MD 20872-2090
Phone (301) 482-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Urgent Care, LLC CurrentSince Sep 1, 2024 Accepting new patients
St Paul Place Specialists Inc CurrentSince Feb 19, 2013 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Oct 5, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 5, 2024 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients
Occupational Health Centers of the Southwest PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
American Current Care PA Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

22750 Newcut Rd
Ste D1B
Clarksburg, MD 20871
Phone (301) 302-8513

9809 Main St
Ste 103
Damascus, MD 20872
Phone (301) 482-1000

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1730468026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132803",
            "telephone_number": "860-921-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210935115",
            "telephone_number": "410-252-4015",
            "fax_number": "410-252-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDYMORE",
        "first_name": "MEGHAN",
        "middle_name": "DALE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.