Individual provider Active NPI

Laurie A Pordum, DO

  • Obstetrics & Gynecology Physician
  • Columbia, MD
National Provider Identifier
1922038942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H0059911 Issued in MD
Practice address
6350 Stevens Forest Rd
Suite 102
Columbia, MD 21046-3231
Phone
(443) 259-3770
Fax
(443) 259-3775
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H0059911 MD Primary

Addresses

Primary practice location

6350 Stevens Forest Rd
Suite 102
Columbia, MD 21046-3231

Mailing address

6350 Stevens Forest Rd
Suite 102
Columbia, MD 21046-3231
Phone (443) 259-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H0059911MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System Obstetrics & Gynecology CurrentSince Nov 22, 2024 Accepting new patients
Mount Carmel Health System CurrentSince Nov 22, 2024 Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA Obstetrics & Gynecology PastSince Jan 21, 2024 Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922038942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 STEVENS FOREST RD",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463231",
            "telephone_number": "443-259-3770",
            "fax_number": "443-259-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 STEVENS FOREST RD",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463231",
            "telephone_number": "443-259-3770",
            "fax_number": "443-259-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORDUM",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "H0059911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.