Organization Active NPI

United Medical Center, LLC

  • Family Medicine Physician
  • Berwyn Heights, MD
National Provider Identifier
1790831345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D52430 Issued in MD
Legal business name
UNITED MEDICAL CENTER, LLC
Practice address
6201 Greenbelt Rd
Suite L5
Berwyn Heights, MD 20740-2354
Phone
(301) 441-1234
Fax
(301) 441-1235
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rosaline O Fraser, MDNPI 1588632384
Title
MD
Phone
(301) 441-1234

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D52430 MD Primary

Addresses

Primary practice location

6201 Greenbelt Rd
Suite L5
Berwyn Heights, MD 20740-2354

Mailing address

6201 Greenbelt Rd
Suite L5
Berwyn Heights, MD 20740-2354
Phone (301) 441-1234

National Provider Directory

National Provider Directory

Locations

6201 Greenbelt Rd
Ste L5
Berwyn Heights, MD 20740
Phone (301) 332-7779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790831345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD",
            "address_2": "SUITE L5",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402354",
            "telephone_number": "301-441-1234",
            "fax_number": "301-441-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD",
            "address_2": "SUITE L5",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402354",
            "telephone_number": "301-441-1234",
            "fax_number": "301-441-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "ROSALINE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-441-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D52430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.