Active NPI
Elenita J Quizon, MD
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1770642944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D21821
- Practice address
- 7501 Liberty Road
Suite C
Baltimore, MD 21207 - Phone
- (410) 298-3711
- Fax
- (410) 298-3382
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D21821 | MD | Primary |
Addresses
Primary practice location
7501 Liberty Road
Suite C
Baltimore, MD 21207
Mailing address
721 Hunter Way
Baltimore, MD 21228
Phone (410) 747-2913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 319461200 | Medicaid | MD |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D21821 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institution LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770642944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 HUNTER WAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-747-2913",
"fax_number": "410-298-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 LIBERTY ROAD",
"address_2": "SUITE C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21207",
"telephone_number": "410-298-3711",
"fax_number": "410-298-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIZON",
"first_name": "ELENITA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D21821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "319461200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, 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.