Active NPI
Patricia Cortazar, M.D.
- Medical Oncology Physician
- Potomac, MD
National Provider Identifier
1851654875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- D52860
- Practice address
- 12130 Glen Mill Rd
Potomac, MD 20854-1923 - Phone
- (301) 309-1941
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | D52860 | MD | Primary |
Addresses
Primary practice location
12130 Glen Mill Rd
Potomac, MD 20854-1923
Mailing address
10903 New Hampshire Ave
Room 2333
Silver Spring, MD 20903-1058
Phone (301) 796-1346
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D52860 | MD | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1851654875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10903 NEW HAMPSHIRE AVE",
"address_2": "ROOM 2333",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031058",
"telephone_number": "301-796-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12130 GLEN MILL RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541923",
"telephone_number": "301-309-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTAZAR",
"first_name": "PATRICIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MD",
"license": "D52860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.