NPIMap

Organization Active NPI

My Primary Care

  • General Practice Physician
  • Westminster, MD
National Provider Identifier
1972148963
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MY PRIMARY CARE
Practice address
826 Washington Rd Ste 110
Westminster, MD 21157-5779
Phone
(443) 604-4716
Fax
(443) 276-6572
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Jocelyn Swanson-Apollon, MDNPI 1962662569
Title
Medical Director
Phone
(443) 604-4716

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

826 Washington Rd Ste 110
Westminster, MD 21157-5779

Mailing address

11901 Evening CT
Clarksville, MD 21029-1252
Phone (443) 604-4716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200403002796 MD Part B Supplier - Clinic/Group Practice 2264861756 Receives reassigned benefits from 6 practitioners
Practice locations: Frederick, MD; Hagerstown, MD; Havre de Grace, MD; Westminster, MD

National Provider Directory

National Provider Directory

Locations

1037 Pulaski Hwy
Havre de Grace, MD 21078
Phone (410) 751-7480

826 Washington Rd
Ste 110B
Westminster, MD 21157
Phone (410) 751-7480

826 Washington Rd
Ste 110
Westminster, MD 21157
Phone (443) 604-4716

Practitioners & affiliated clinicians

Practitioners 6

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": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1972148963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 EVENING CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291252",
            "telephone_number": "443-604-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD STE 110",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575779",
            "telephone_number": "443-604-4716",
            "fax_number": "443-276-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "SWANSON-APOLLON",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-604-4716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.