Active NPI
Eleanor Pittinger
- Physician Assistant
- Forest Hill, MD
National Provider Identifier
1790372811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0007789
- Practice address
- 2004 Rock Spring Rd
Forest Hill, MD 21050-2607 - Phone
- (443) 640-4524
- NPI assigned
- Dec 22, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0007789 | MD | Primary |
Addresses
Primary practice location
2004 Rock Spring Rd
Forest Hill, MD 21050-2607
Mailing address
2004 Rock Spring Rd
Forest Hill, MD 21050-2607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Internal Medicine Physician
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- NPI 1093322257
-
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
- Urgent Care Clinic/Center
- Severna Park, MD
- NPI 1164925202
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1790372811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 ROCK SPRING RD",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210502607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 ROCK SPRING RD",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210502607",
"telephone_number": "443-640-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTINGER",
"first_name": "ELEANOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.