Organization Active NPI

Mammoth Health, PLLC

  • Urology Physician
  • Bethesda, MD
National Provider Identifier
1871373357
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Oct 3, 2023

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.