Individual provider Active NPI

Andrew M London, MD

  • Gynecology Physician
  • Lutherville, MD
National Provider Identifier
1780770206
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D0017049 Issued in MD
Practice address
1300 York Rd
Building a Suite 100
Lutherville, MD 21093-6016
Phone
(410) 296-5863
Fax
(410) 583-9120
NPI assigned
Oct 4, 2006
Last updated
Jan 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X D0017049 MD Primary

Addresses

Primary practice location

1300 York Rd
Building a Suite 100
Lutherville, MD 21093-6016

Mailing address

1300 York Rd
Building a Suite 100
Lutherville, MD 21093-6016
Phone (410) 296-5863

Other identifiers 2

IdentifierTypeStateIssuer
DD7566OtherRAILROAD MEDICARE GROUP ID
P00249016OtherRAILROAD MEDICARE INDIV. ID

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

State licenses

LicenseStateTypeSpecialty
D0017049MDMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Memorial Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1780770206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "address_2": "BUILDING A SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-296-5863",
            "fax_number": "410-583-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "address_2": "BUILDING A SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-296-5863",
            "fax_number": "410-583-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0017049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP ID",
            "identifier": "DD7566",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIV. ID",
            "identifier": "P00249016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.