Organization Active NPI

Paul a. Devore MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hyattsville, MD
National Provider Identifier
1942391693
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
D001852 Issued in MD
Legal business name
PAUL A. DEVORE MD PC
Practice address
4203 Queensbury Rd
Hyattsville, MD 20781-1435
Phone
(301) 454-0801
Fax
(301) 454-0810
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Paul A Devore, MD
Title
Doctor
Phone
(301) 454-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X D001852 MD Primary

Addresses

Primary practice location

4203 Queensbury Rd
Hyattsville, MD 20781-1435

Mailing address

4203 Queensbury Rd
Hyattsville, MD 20781-1435
Phone (301) 454-0801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1942391693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 QUEENSBURY RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811435",
            "telephone_number": "301-454-0801",
            "fax_number": "301-454-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 QUEENSBURY RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811435",
            "telephone_number": "301-454-0801",
            "fax_number": "301-454-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. DEVORE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-454-0801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D001852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.