NPIMap

Organization Active NPI

Committed to Change, PC

  • Community Health Clinic/Center
  • Cumberland, MD
National Provider Identifier
1962760959
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
LC2197 Issued in MD
Legal business name
COMMITTED TO CHANGE, PC
Practice address
500 Memorial Ave
Suite M-304
Cumberland, MD 21502-3732
Phone
(240) 580-1919
Fax
(443) 276-6712
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Rajendra Lowtan, M.D.NPI 1467474049
Title
Medical Director
Phone
(240) 580-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X LC2197 MD Primary

Addresses

Primary practice location

500 Memorial Ave
Suite M-304
Cumberland, MD 21502-3732

Mailing address

500 Memorial Ave
Suite M-304
Cumberland, MD 21502-3732
Phone (240) 580-1919

National Provider Directory

National Provider Directory
Tax ID family
Committed to Changepc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the 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": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1962760959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL AVE",
            "address_2": "SUITE M-304",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023732",
            "telephone_number": "240-580-1919",
            "fax_number": "443-276-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL AVE",
            "address_2": "SUITE M-304",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023732",
            "telephone_number": "240-580-1919",
            "fax_number": "443-276-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED TO CHANGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "LOWTAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-580-1919",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "LC2197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.