Eugenia Caryn Robertson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0063270 Issued in MD

Practice address

479 Jumpers Hole Rd Ste 304a
Severna Park, MD 21146-1753

Phone

(410) 544-0053

Fax

(410) 544-7830

NPI assigned

Feb 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment NPD
• Geniehealth LLC

  • Internal Medicine Physician
  • Severna Park, MD
  • NPI 1659104123
  NPD Authorized official
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1962473330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WHITE CEDAR LN",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463337",
            "telephone_number": "443-794-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD STE 304A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461753",
            "telephone_number": "410-544-0053",
            "fax_number": "410-544-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "EUGENIA",
        "middle_name": "CARYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.GenieHealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "479 Jumpers Hole Rd Ste 304A",
            "city": "Severna Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211461753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Lynn Ringo, LCSW-C
• Stacy Ringold
• Rite Aid of Maryland Inc
• River Reach Outpatient Surgery Center,LLC
• Robert a. Pascal Youth & Family Services, Inc.
• Alexandra Evan Robinson, LCSW-C
• Hannah Rock
• Mercedes Lyn Rodgers, BEHAVIOR TECHNICIAN
• Mariam Iris Rodriguez, 106S00000X
• Michelle Phillips Rodriguez

• Internal Medicine Physician in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.