Organization Active NPI

Andrew M. London MD,PA

  • Specialist
  • Lutherville, MD
National Provider Identifier
1871774349
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D17049 Issued in MD
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Andrew Monroe London, MDNPI 1780770206
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DD7566OtherRAILROAD MEDICARE GROUP ID

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.