Glen Burnie Physicians

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

GLEN BURNIE PHYSICIANS

Practice address

115 Roesler Rd
Glen Burnie, MD 21060-6519

Phone

(410) 766-8009

NPI assigned

May 22, 2015

Last updated

May 22, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PHYSICIANS HOUSE CALLSAs reported in NPPES

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

Authorized official

Name

Jeffrey P Katz, M.D

Title

Medical Director

Phone

(410) 766-8009

Specialties & licenses 1

Addresses

Part of

Physicians House Calls Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Physicians' House Calls

  • Contractor
  • Glen Burnie, MD
  • NPI 1346315827
  NPPES parent name

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1831578905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ROESLER RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606519",
            "telephone_number": "410-766-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ROESLER RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606519",
            "telephone_number": "410-766-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN BURNIE PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS HOUSE CALLS",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-766-8009",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Glen Burnie Physical Therapy & Sportscare, LLC (Pivot Physical Therapy of Greater Baltimore)
• Glenard Medical Services, PA
• Glensan Wellness and Laser Pain Center
• Gloria Kidz Dental LLC
• Gold Shield Medical Services LLC
• Marjorie Lynne Gold

• Contractor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Contractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.