Columbia Medics Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0073685 Issued in MD

Legal business name

COLUMBIA MEDICS INC

Practice address

10615 Old Ellicott Cir
Ellicott City, MD 21042-2199

Phone

(443) 355-4680

Fax

(208) 723-5911

NPI assigned

Dec 25, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sesha S Adusumilli, MD

Title

President

Phone

(443) 355-4680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451001600000",
    "number": "1861857484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 OLD ELLICOTT CIR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422199",
            "telephone_number": "443-355-4680",
            "fax_number": "208-723-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 OLD ELLICOTT CIR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422199",
            "telephone_number": "443-355-4680",
            "fax_number": "208-723-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-25",
        "last_updated": "2015-12-25",
        "status": "A",
        "authorized_official_last_name": "ADUSUMILLI",
        "authorized_official_first_name": "SESHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-355-4680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0073685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.