Active NPI
Maryland Neuromuscular Center LLC
- Neurology Physician
- Columbia, MD
National Provider Identifier
1881443554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- MARYLAND NEUROMUSCULAR CENTER LLC
- Practice address
- 11055 Little Patuxent Pkwy Ste 203
Columbia, MD 21044-2898 - Phone
- (443) 524-0885
- Fax
- (443) 524-0887
- NPI assigned
- May 15, 2024
- 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. Derrick Alwyn Fox, MD
- Title
- President
- Phone
- (443) 524-0885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | |||
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
11055 Little Patuxent Pkwy Ste 203
Columbia, MD 21044-2898
Mailing address
11055 Little Patuxent Pkwy Ste 203
Columbia, MD 21044-2898
Phone (443) 524-0885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1881443554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11055 LITTLE PATUXENT PKWY STE 203",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442898",
"telephone_number": "443-524-0885",
"fax_number": "443-524-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11055 LITTLE PATUXENT PKWY STE 203",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442898",
"telephone_number": "443-524-0885",
"fax_number": "443-524-0887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND NEUROMUSCULAR CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-15",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "DERRICK",
"authorized_official_middle_name": "ALWYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-524-0885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Maryland Lip and Tongue Tie Center LLC
- Maryland Neurological Center, LLC
- Maryland Oncology Hematology P.a.
- Maryland Oncology Hematology, P.a.
- Maryland Outpatient Sedation LLC
- Maryland Primary Care Physicians, LLC
- Maryland Primary Care Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.