Organization Active NPI

Carolyn a. Hammett MD PC

  • Family Medicine Physician
  • Hyattsville, MD
National Provider Identifier
1861678229
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D39966 Issued in MD
Legal business name
CAROLYN A. HAMMETT MD PC
Practice address
1835 University Blvd E
#226
Hyattsville, MD 20783-4600
Phone
(410) 848-8202
Fax
(410) 848-2644
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Sue Davis
Title
Billing Manager
Phone
(410) 848-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D39966 MD Primary

Addresses

Primary practice location

1835 University Blvd E
#226
Hyattsville, MD 20783-4600

Mailing address

901 Sligo Creek Pkwy
Takoma Park, MD 20912-5810
Phone (410) 848-8202

Other identifiers 4

IdentifierTypeStateIssuer
264118OtherMDUNITED HEALTHCARE
019941900MedicaidMD
0H36CA52078700OtherMDBC MD
40090001OtherDCBC DC/METRO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1861678229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SLIGO CREEK PKWY",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125810",
            "telephone_number": "410-848-8202",
            "fax_number": "410-848-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY BLVD E",
            "address_2": "#226",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834600",
            "telephone_number": "410-848-8202",
            "fax_number": "410-848-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN A. HAMMETT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-848-8202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D39966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "264118",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019941900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC MD",
            "identifier": "0H36CA52078700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DC/METRO",
            "identifier": "40090001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.