NPIMap

Organization Active NPI

Walker Merrick Developmental Pediatrics

Doing business as Developmental Pediatrics

  • Primary Care Clinic/Center
  • Columbia, MD
National Provider Identifier
1790901825
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0034745 Issued in MD
Legal business name
WALKER MERRICK DEVELOPMENTAL PEDIATRICS
Doing business as
Developmental Pediatrics
Practice address
10630 Little Patuxent Pkwy
Suite 125
Columbia, MD 21044-3264
Phone
(410) 995-5437
Fax
(301) 596-3364
NPI assigned
Apr 17, 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. Henri F. Walker Merrick, M.D.
Title
President
Phone
(301) 596-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0034745 MD Primary

Addresses

Primary practice location

10630 Little Patuxent Pkwy
Suite 125
Columbia, MD 21044-3264

Mailing address

10630 Little Patuxent Pkwy
Suite 125
Columbia, MD 21044-3264
Phone (410) 995-5437

Other identifiers 6

IdentifierTypeStateIssuer
0778OtherDCCAREFIRST NATIONAL CAPITA
2711674004OtherCIGNA
07105OtherAMERICAID
KU63OtherMDMARYLAND CAREFIRST
1200527OtherUNITED HEALTHCARE
21910OtherPRIORITY PARTNERS

Other names 1

  • Developmental Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790901825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 125",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "410-995-5437",
            "fax_number": "301-596-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 125",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443264",
            "telephone_number": "410-995-5437",
            "fax_number": "301-596-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER MERRICK DEVELOPMENTAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "HENRI",
        "authorized_official_middle_name": "F. WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-596-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0034745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NATIONAL CAPITA",
            "identifier": "0778",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2711674004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "07105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND CAREFIRST",
            "identifier": "KU63",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1200527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS",
            "identifier": "21910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Developmental Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, 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.