Organization Active NPI

Robert J. Carpenter MD PA

  • Physician Assistant
  • Cumberland, MD
National Provider Identifier
1780867010
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003497 Issued in MD
Legal business name
ROBERT J. CARPENTER MD PA
Practice address
911 Seton Dr
Cumberland, MD 21502-1817
Phone
(301) 724-5885
Fax
(301) 759-3332
NPI assigned
Dec 10, 2007
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Dr. Robert John Carpenter, M.D.NPI 1306824123
Title
President
Phone
(301) 724-5885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X C0003497 MD Primary

Addresses

Primary practice location

911 Seton Dr
Cumberland, MD 21502-1817

Mailing address

217 Glenn St Ste 300
Cumberland, MD 21502-2590
Phone (301) 724-5885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000849 MD Part B Supplier - Clinic/Group Practice 4981657996 Receives reassigned benefits from 2 practitioners
Practice locations: Cumberland, MD

National Provider Directory

National Provider Directory

Locations

217 Glenn St
Ste 300
Cumberland, MD 21502
Phone (301) 724-5885

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1780867010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GLENN ST STE 300",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022590",
            "telephone_number": "301-724-5885",
            "fax_number": "301-759-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SETON DR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021817",
            "telephone_number": "301-724-5885",
            "fax_number": "301-759-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. CARPENTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-724-5885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.