Active NPI
Dorkina Carmell Myrick, M.D.
- Anatomic Pathology Physician
- Chevy Chase, MD
National Provider Identifier
1972890077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- D62182
- Practice address
- 5500 Friendship Blvd
Chevy Chase, MD 20815-7219 - Phone
- (301) 951-7142
- NPI assigned
- Jul 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | D62182 | MD | Primary |
Addresses
Primary practice location
5500 Friendship Blvd
Chevy Chase, MD 20815-7219
Mailing address
5500 Friendship Blvd
Chevy Chase, MD 20815-7219
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D62182 | MD | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1972890077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 FRIENDSHIP BLVD",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208157219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 FRIENDSHIP BLVD",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208157219",
"telephone_number": "301-951-7142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICK",
"first_name": "DORKINA",
"middle_name": "CARMELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-09",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MD",
"license": "D62182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.