NPIMap

Organization Active NPI

Family Medical Associates,LLC

  • Family Medicine Physician
  • Westminster, MD
National Provider Identifier
1922014349
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL ASSOCIATES,LLC
Practice address
686 Poole Rd # C
Westminster, MD 21157-6003
Phone
(410) 848-2444
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Carissa Hoffmann
Title
Billing Manager
Phone
(410) 876-9785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD Primary

Addresses

Primary practice location

686 Poole Rd # C
Westminster, MD 21157-6003

Mailing address

332 140 Village Rd
# 167
Westminster, MD 21157-6196
Phone (410) 876-9785

Other identifiers 1

IdentifierTypeStateIssuer
041301100MedicaidMD

National Provider Directory

National Provider Directory

Locations

4175 Hanover Pike
#A
Manchester, MD 21102
Phone (410) 239-2662

295 Stoner Ave
#S301
Westminster, MD 21157
Phone (410) 876-1614

686 Poole Rd
Ste C
Westminster, MD 21157
Phone (410) 848-2444

708 Lisbon Center Dr
Ste C
Woodbine, MD 21797
Phone (410) 489-7777

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922014349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 140 VILLAGE RD",
            "address_2": "# 167",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576196",
            "telephone_number": "410-876-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 POOLE RD # C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576003",
            "telephone_number": "410-848-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-876-9785",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041301100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.