Individual provider Active NPI

Julie Frances King, MD

  • Pediatrics Physician
  • Lutherville, MD
National Provider Identifier
1972828077
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0075821 Issued in MD
Practice address
10755 Falls Rd
Suite 260
Lutherville, MD 21093-4515
Phone
(410) 583-2955
Fax
(410) 583-2962
NPI assigned
Mar 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0075821 MD Primary

Addresses

Primary practice location

10755 Falls Rd
Suite 260
Lutherville, MD 21093-4515

Mailing address

4601 Elsrode Ave
Baltimore, MD 21214-2808
Phone (443) 253-0428

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121121000164 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0345491379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0075821MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pavilion Pediatrics at Greenspring Station, PA Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1972828077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 ELSRODE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142808",
            "telephone_number": "443-253-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 FALLS RD",
            "address_2": "SUITE 260",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934515",
            "telephone_number": "410-583-2955",
            "fax_number": "410-583-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JULIE",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0075821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.