Healthy Shapes LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0051318 Issued in MD

Legal business name

HEALTHY SHAPES LLC

Practice address

10760 Hickory Ridge Rd
Suite 125
Columbia, MD 21044-3682

Phone

(410) 300-4545

Fax

(443) 283-4477

NPI assigned

May 20, 2011

Organization subpart

No

Name

Dr. Robert Cadogan, MD

Title

Sole Proprietor

Phone

(410) 300-4545

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17118/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2011.

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1811280035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2727",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 HICKORY RIDGE RD",
            "address_2": "SUITE 125",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443682",
            "telephone_number": "410-300-4545",
            "fax_number": "443-283-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SHAPES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "CADOGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "410-300-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0051318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0051318",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.