Organization Active NPI

Andrew Mrowiec MD LLC

  • Legal Medicine
  • Aberdeen, MD
National Provider Identifier
1881878700
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
ANDREW MROWIEC MD LLC
Practice address
9 Aberdeen Ave
Aberdeen, MD 21001-3817
Phone
(410) 272-8844
Fax
(410) 272-8910
NPI assigned
Dec 27, 2007
Last updated
Feb 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Dr. Andrew MrowiecNPI 1780668640
Title
Owner
Phone
(410) 272-8844

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)CodeLicenseStatePrimary
Legal Medicine 173000000X NU Primary
Gastroenterology Physician 207RG0100X NU

Addresses

Primary practice location

9 Aberdeen Ave
Aberdeen, MD 21001-3817

Mailing address

9 Aberdeen Ave
Aberdeen, MD 21001-3817
Phone (410) 272-8844

Other identifiers 2

IdentifierTypeStateIssuer
520700200MedicaidMD
0M56AOtherMDBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012001154 MD Part B Supplier - Clinic/Group Practice 6901866268 Receives reassigned benefits from 7 practitioners
Practice locations: Aberdeen, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1881878700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ABERDEEN AVE",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013817",
            "telephone_number": "410-272-8844",
            "fax_number": "410-272-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ABERDEEN AVE",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210013817",
            "telephone_number": "410-272-8844",
            "fax_number": "410-272-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW MROWIEC MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "MROWIEC",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-272-8844",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520700200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0M56A",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.

Verify at the official NPI Registry.