NPIMap

Organization Active NPI

Parkinson's and Movement Disorders Center of Maryland, LLC

  • Neurology Physician
  • Elkridge, MD
National Provider Identifier
1790990398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PARKINSON'S AND MOVEMENT DISORDERS CENTER OF MARYLAND, LLC
Practice address
8180 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6425
Phone
(443) 755-0030
Fax
(443) 755-9329
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Nicole Novelle Saunders
Title
Practice Manager
Phone
(443) 755-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

8180 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6425

Mailing address

8180 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6425
Phone (443) 755-0030

National Provider Directory

National Provider Directory

Locations

8180 Lark Brown Rd
Ste 101
Elkridge, MD 21075
Phone (410) 884-7001

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790990398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 LARK BROWN RD",
            "address_2": "SUITE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756425",
            "telephone_number": "443-755-0030",
            "fax_number": "443-755-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 LARK BROWN RD",
            "address_2": "SUITE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756425",
            "telephone_number": "443-755-0030",
            "fax_number": "443-755-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKINSON'S AND MOVEMENT DISORDERS CENTER OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "NOVELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "443-755-0030"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, 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.