Lara L Dimick-Santos, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0063559 Issued in MD

Practice address

2001 Medical Pkwy
Annapolis, MD 21401-3280

Phone

(443) 481-1000

Fax

(443) 481-1360

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anne Arundel Medical Center Inc

  dba Anne Arundel Medical Center Surgical Hospitalists

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1679541460
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1952398950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64834",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644834",
            "telephone_number": "443-481-6580",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013280",
            "telephone_number": "443-481-1000",
            "fax_number": "443-481-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMICK-SANTOS",
        "first_name": "LARA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0063559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKMEN'S COMP",
            "identifier": "145724700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "K5880004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "887BAA 6474901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936200201 408805100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Dillard, MS, LCPC
• Shannon Dillon
• Christina Dimarco Prietz
• Lisa A Dimarzio, MD
• Dimensions Healthcare Associates Inc (University of Maryland Capital Region Health Medical Group)
• Laura Dingess, RBT
• Russel Dinh, MD
• Pamela S Dinkel
• Lucia Dirado
• Edward John Distelhorst, MD

• Surgery Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.