Family Medical

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

R089671 Issued in MD

Legal business name

FAMILY MEDICAL

Practice address

1502 S Main St Ste 104
Mount Airy, MD 21771-5374

Phone

(410) 489-4927

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Rochelle Dyer

Title

CRNP Owner

Phone

(410) 489-4927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1750824082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S MAIN ST STE 104",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S MAIN ST STE 104",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715374",
            "telephone_number": "410-489-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "CRNP OWNER",
        "authorized_official_telephone_number": "410-489-4927"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "R089671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittany Ann Esworthy
• Family Medical Center, LLC
• FDC-DDS PC
• Stephanie Michelle Felde, LCSWC
• Sarena Mae Ferguson, LGPC
• Wesley Fernelis

• Community Health Clinic/Center in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Community Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.