NPIMap

Organization Active NPI

Randallstown Primary Care, LLC

  • Primary Care Clinic/Center
  • Randallstown, MD
National Provider Identifier
1861689150
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RANDALLSTOWN PRIMARY CARE, LLC
Practice address
5400 Old Court Rd
Suite 204
Randallstown, MD 21133-5100
Phone
(410) 521-4211
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Christopher Davey
Title
Managing Member
Phone
(410) 521-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5400 Old Court Rd
Suite 204
Randallstown, MD 21133-5100

Mailing address

5400 Old Court Rd
Suite 204
Randallstown, MD 21133-5100
Phone (410) 521-4211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1861689150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 OLD COURT RD",
            "address_2": "SUITE 204",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335100",
            "telephone_number": "410-521-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 OLD COURT RD",
            "address_2": "SUITE 204",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335100",
            "telephone_number": "410-521-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLSTOWN PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "DAVEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-521-4211"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.