Active NPI
Andrew M. London MD,PA
- Specialist
- Lutherville, MD
National Provider Identifier
1871774349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D17049
- Legal business name
- ANDREW M. LONDON MD,PA
- Practice address
- 1300 York Rd
BLDG a, Suite 100
Lutherville, MD 21093-6000 - Phone
- (410) 296-5863
- Fax
- (410) 296-3105
- NPI assigned
- Nov 26, 2007
- Last updated
- Dec 2, 2010
- 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
- Dr. Andrew Monroe London, MD
- Title
- President
- Phone
- (410) 296-5863
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D17049 | MD | Primary |
Addresses
Primary practice location
1300 York Rd
BLDG a, Suite 100
Lutherville, MD 21093-6000
Mailing address
1300 York Rd
BLDG a, Suite 100
Lutherville, MD 21093-6000
Phone (410) 296-5863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD7566 | Other | RAILROAD MEDICARE GROUP ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Lutherville, MD
- NPI 1780770206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291248000000",
"number": "1871774349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 YORK RD",
"address_2": "BLDG A, SUITE 100",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936000",
"telephone_number": "410-296-5863",
"fax_number": "410-296-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 YORK RD",
"address_2": "BLDG A, SUITE 100",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936000",
"telephone_number": "410-296-5863",
"fax_number": "410-296-3105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW M. LONDON MD,PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2010-12-02",
"status": "A",
"authorized_official_last_name": "LONDON",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "MONROE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-296-5863",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D17049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP ID",
"identifier": "DD7566",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.