Active NPI
Mammoth Health, PLLC
- Urology Physician
- Bethesda, MD
National Provider Identifier
1871373357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- MAMMOTH HEALTH, PLLC
- Practice address
- 6504 Brookes Hill CT
Bethesda, MD 20816-2501 - Phone
- (315) 508-7414
- NPI assigned
- Oct 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Mordkin, MD
- Title
- MGR
- Phone
- (315) 508-7414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
6504 Brookes Hill CT
Bethesda, MD 20816-2501
Mailing address
6504 Brookes Hill CT
Bethesda, MD 20816-2501
National Provider Directory
National Provider DirectoryLocations
2300 Windy Ridge Pkwy SE
Ste 850S
Atlanta, GA 30339
Phone (404) 735-7834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696291200000",
"number": "1871373357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6504 BROOKES HILL CT",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6504 BROOKES HILL CT",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162501",
"telephone_number": "315-508-7414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAMMOTH HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A",
"authorized_official_last_name": "MORDKIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "315-508-7414",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.