Organization Active NPI

MD Medical Inc

Doing business as Miriam Martin MD

  • Family Medicine Physician
  • Landover, MD
National Provider Identifier
1811076581
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0040898 Issued in MD
Legal business name
MD MEDICAL INC
Doing business as
Miriam Martin MD
Practice address
8816 Jericho City Dr
Landover, MD 20785-4762
Phone
(301) 808-0341
Fax
(301) 350-1398
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Miriam Martin
Title
Owner
Phone
(301) 808-0341

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0040898 MD Primary
Non-Pharmacy Dispensing Site 332900000X D0040898 MD

Addresses

Primary practice location

8816 Jericho City Dr
Landover, MD 20785-4762

Mailing address

8816 Jericho City Dr
Landover, MD 20785-4762
Phone (301) 808-0341

Other identifiers 1

IdentifierTypeStateIssuer
2133130OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MIRIAM MARTIN MD Doing business as

National Provider Directory

National Provider Directory

Locations

8810 Jericho City Dr
Landover, MD 20785
Phone (301) 808-0341

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1811076581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 JERICHO CITY DR",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854762",
            "telephone_number": "301-808-0341",
            "fax_number": "301-350-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 JERICHO CITY DR",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854762",
            "telephone_number": "301-808-0341",
            "fax_number": "301-350-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-808-0341"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0040898",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MD",
            "license": "D0040898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2133130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRIAM MARTIN MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.