Active NPI
Mary Anne Scottino, M.D.
- Family Medicine Physician
- Laurel, MD
National Provider Identifier
1932261070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0036851
- Practice address
- 8356 Sand Cherry LN
Laurel, MD 20723-1087 - Phone
- (301) 604-3416
- Fax
- (775) 206-1538
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0036851 | MD | Primary |
Addresses
Primary practice location
8356 Sand Cherry LN
Laurel, MD 20723-1087
Mailing address
8356 Sand Cherry LN
Laurel, MD 20723-1087
Phone (301) 604-3416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0036851 | MD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932261070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8356 SAND CHERRY LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231087",
"telephone_number": "301-604-3416",
"fax_number": "775-206-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8356 SAND CHERRY LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231087",
"telephone_number": "301-604-3416",
"fax_number": "775-206-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTTINO",
"first_name": "MARY ANNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0036851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.