Active NPI
Nancy Ellen Prosser, M.D.
- General Practice Physician
- Joppa, MD
National Provider Identifier
1801978465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- D31093
- Practice address
- 742 Joppa Farm Rd
Joppa, MD 21085-4463 - Phone
- (410) 679-2020
- NPI assigned
- Oct 20, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | D31093 | MD | Primary |
Addresses
Primary practice location
742 Joppa Farm Rd
Joppa, MD 21085-4463
Mailing address
742 Joppa Farm Rd
Joppa, MD 21085-4463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43232 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801978465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 JOPPA FARM RD",
"city": "JOPPA",
"state": "MD",
"postal_code": "210854463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 JOPPA FARM RD",
"city": "JOPPA",
"state": "MD",
"postal_code": "210854463",
"telephone_number": "410-679-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSER",
"first_name": "NANCY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MD",
"license": "D31093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43232",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joppa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.