NPIMap

Organization Active NPI

Trusted Doctors LLC

  • Pediatrics Physician
  • Severna Park, MD
National Provider Identifier
1881450278
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TRUSTED DOCTORS LLC
Practice address
877 Baltimore Annapolis Blvd Ste 208
Severna Park, MD 21146-4716
Phone
(410) 263-6363
Fax
(410) 263-7551
NPI assigned
Feb 23, 2024
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Sandy Chung, MD
Title
Ceo
Phone
(703) 322-0245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

877 Baltimore Annapolis Blvd Ste 208
Severna Park, MD 21146-4716

Mailing address

13135 Route 50 Ste 300
Fairfax, VA 22033-1907
Phone (703) 322-0245

National Provider Directory

National Provider Directory
Tax ID family
Fairfax Pediatric Assoc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

877 Baltimore Annapolis Blvd
Ste 208
Severna Park, MD 21146
Phone (410) 263-6363

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1881450278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 ROUTE 50 STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-322-0245",
            "fax_number": "703-666-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 208",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464716",
            "telephone_number": "410-263-6363",
            "fax_number": "410-263-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTED DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-322-0245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.