NPIMap

Organization Active NPI

St. Mary'S Multispeciality Physicians

  • Specialist
  • Leonardtown, MD
National Provider Identifier
1861605099
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ST. MARY'S MULTISPECIALITY PHYSICIANS
Practice address
25500 Point Lookout Road
Leonardtown, MD 20650
Phone
(410) 828-8100
Fax
(410) 882-3310
NPI assigned
May 7, 2007
Organization subpart
Yes
Parent organization
ST. MARY'S HOSPTIALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Michael L Ashburn
Title
Client Manager
Phone
(410) 828-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

25500 Point Lookout Road
Leonardtown, MD 20650

Mailing address

25500 Point Lookout Road
Leonardtown, MD 20650
Phone (410) 828-8100

National Provider Directory

National Provider Directory
Part of
St Mary'S Hospital Specialists

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1861605099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "410-828-8100",
            "fax_number": "410-882-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "410-828-8100",
            "fax_number": "410-882-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S MULTISPECIALITY PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARY'S HOSPTIAL",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "ASHBURN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLIENT MANAGER",
        "authorized_official_telephone_number": "410-828-8100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.