Maryland Ivf Health & Wellness Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D0060312 Issued in MD

Legal business name

MARYLAND IVF HEALTH & WELLNESS CENTER

Practice address

9250 Bendix Road North
Columbia, MD 21045-1832

Phone

(410) 964-2229

Fax

(410) 964-0009

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Diana P Broomfield, M.D.

Title

Medical Director

Phone

(410) 964-2229

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maryland IVF Doing business as

Tax ID family

Maryland Ivf2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maryland Ivf Fertility Health & Wellness Center

  • Medical Specialty Clinic/Center
  • Columbia, MD
  • NPI 1427380302
  NPD tax ID

Locations

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1811224967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 BENDIX ROAD NORTH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451832",
            "telephone_number": "410-964-2229",
            "fax_number": "410-964-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 BENDIX ROAD NORTH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451832",
            "telephone_number": "410-964-2229",
            "fax_number": "410-964-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND IVF HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "BROOMFIELD",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-964-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0060312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "NPI- 1144 036 902 65",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland IVF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryland Family Care, Inc.
• Maryland Health, Wellness, and Rehabilitation, LLC
• Maryland Home Care of Howard County, LLC
• Maryland Infectious Disease Clinic, LLC
• Maryland Ivf Fertility Health & Wellness Center
• Maryland Lip and Tongue Tie Center LLC
• Maryland Neurological Center, LLC
• Maryland Neuromuscular Center LLC
• Maryland Oncology Hematology P.a.
• Maryland Oncology Hematology, P.a.

• Medical Specialty Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.