Individual provider Active NPI

Cynthia Y Stevens-Morrison, MD

  • Pediatrics Physician
  • Upper Marlboro, MD
National Provider Identifier
1962448076
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0050020 Issued in MD
Practice address
9560 Pennsylvania Ave
Suite 106
Upper Marlboro, MD 20772-3668
Phone
(301) 324-0100
Fax
(301) 324-6800
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0050020 MD Primary
General Practice Physician 208D00000X D0050020 MD

Addresses

Primary practice location

9560 Pennsylvania Ave
Suite 106
Upper Marlboro, MD 20772-3668

Mailing address

9560 Pennsylvania Ave
Suite 106
Upper Marlboro, MD 20772-3668
Phone (301) 324-0100

Other identifiers 1

IdentifierTypeStateIssuer
823901100MedicaidMD

Other names 1

  • Cynthia Y Stevens Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0050020MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Wellness Center PA Pediatrics CurrentSince Aug 27, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9560 Marlboro Pike
Ste 106
Upper Marlboro, MD 20772
Phone (301) 324-0100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9105/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1962448076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 PENNSYLVANIA AVE",
            "address_2": "SUITE 106",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723668",
            "telephone_number": "301-324-0100",
            "fax_number": "301-324-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 PENNSYLVANIA AVE",
            "address_2": "SUITE 106",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723668",
            "telephone_number": "301-324-0100",
            "fax_number": "301-324-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS-MORRISON",
        "first_name": "CYNTHIA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0050020",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0050020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823901100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "STEVENS",
            "middle_name": "Y",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.