Organization Active NPI

Linda a Walsh MD PA

Doing business as Jarrettsville Family Care

  • Exclusive Provider Organization
  • Jarrettsville, MD
National Provider Identifier
1912056029
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
D0034208 Issued in MD
Legal business name
LINDA A WALSH MD PA
Doing business as
Jarrettsville Family Care
Practice address
3718 Norrisville Rd
Suite C
Jarrettsville, MD 21084-1419
Phone
(410) 692-5292
Fax
(410) 557-4256
NPI assigned
Jan 9, 2007
Last updated
Nov 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Mrs. Linda A Walsh, M.D.NPI 1659366631
Title
President
Phone
(410) 692-5292

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
Exclusive Provider Organization 302F00000X D0034208 MD Primary

Addresses

Primary practice location

3718 Norrisville Rd
Suite C
Jarrettsville, MD 21084-1419

Mailing address

3718 Norrisville Rd
Suite C
Jarrettsville, MD 21084-1419
Phone (410) 692-5292

Other names 1

  • Jarrettsville Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

1718 Jarrettsville Rd
Jarrettsville, MD 21084
Phone (410) 692-5292

Practitioners & affiliated clinicians

Practitioners 2

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1912056029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 NORRISVILLE RD",
            "address_2": "SUITE C",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-692-5292",
            "fax_number": "410-557-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 NORRISVILLE RD",
            "address_2": "SUITE C",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-692-5292",
            "fax_number": "410-557-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA A WALSH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-692-5292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MD",
            "license": "D0034208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jarrettsville Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jarrettsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.