Kevin Lawrence Laser, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D35560 Issued in MD

Practice address

512 Benforest Dr
Severna Park, MD 21146-1735

Phone

(410) 544-7611

Fax

(410) 544-5179

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comptroller of Maryland Central Payroll Bureau

  dba Eastern Shore Hospital Center

  • Psychiatric Hospital
  • Cambridge, MD
  • NPI 1841281680
  Medicare reassignment NPD
• Kevin L Laser MD

  • Psychiatry Physician
  • Severna Park, MD
  • NPI 1225300072
  NPD (past) Authorized official
• Comptroller of Maryland Central Payroll Bureau

  dba Spring Grove Hospital Center

  • Psychiatric Hospital Unit
  • Catonsville, MD
  • NPI 1962493403
  NPD
• State of Maryland Central Payroll Bureau

  dba Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families

  • Skilled Nursing Facility
  • Charlotte Hall, MD
  • NPI 1356032734
  NPD

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1881689099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 BENFOREST DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461735",
            "telephone_number": "410-544-7611",
            "fax_number": "410-544-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 BENFOREST DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461735",
            "telephone_number": "410-544-7611",
            "fax_number": "410-544-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASER",
        "first_name": "KEVIN",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D35560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "15-00070",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "52471105",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NATIONAL, FEP, BLUECHOICE",
            "identifier": "K749",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751621500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Lala, PT, DPT
• Kelly Lynne Land, PHARM.D.
• Lauren Renae Laque, LSCW-C
• Aurelia Larrimore, LMSW
• Laser Surgery Center, Inc
• Laura Groft, PHD, LLC (Wellshore Psychology)
• Laura Reagan LCSW-C Psychotherapy Services, LLC
• Laura Reagan Lcswc Psychotherapy Services, LLC (Baltimore Annapolis Center for Integrative Healing)
• Megan E Lautz, MS, RDN
• Lindsay Grace Lavin, M.S.,CCC-SLP

• Psychiatry Physician in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.