Organization Active NPI

Stephen Laiken, MD, PA

  • Internal Medicine Physician
  • Hampstead, MD
National Provider Identifier
1982927935
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0022517 Issued in MD
Legal business name
STEPHEN LAIKEN, MD, PA
Practice address
4111 Lower Beckleysville Rd Ste C
Hampstead, MD 21074-2248
Phone
(410) 374-0808
Fax
(410) 374-0045
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Dr. Stephen Laiken, MDNPI 1093700809
Title
President/Owner
Phone
(410) 374-0808

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0022517 MD Primary

Addresses

Primary practice location

4111 Lower Beckleysville Rd Ste C
Hampstead, MD 21074-2248

Mailing address

4111 Lower Beckleysville Rd Ste C
Hampstead, MD 21074-2248
Phone (410) 374-0808

Other identifiers 1

IdentifierTypeStateIssuer
786441800MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100722000200 MD Part B Supplier - Clinic/Group Practice 9032241310 Receives reassigned benefits from 5 practitioners
Practice locations: Hampstead, MD

National Provider Directory

National Provider Directory

Locations

1005 S Main St
Ste A
Hampstead, MD 21074
Phone (410) 374-0808

4111 Lower Beckleysville Rd
Ste 4
Hampstead, MD 21074
Phone (410) 374-0808

4111 Lower Beckleysville Rd
Hampstead, MD 21074
Phone (301) 374-4488

4111 Lower Beckleysville Rd
Ste C
Hampstead, MD 21074
Phone (410) 374-0808

Practitioners & affiliated clinicians

Practitioners 5

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": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1982927935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 LOWER BECKLEYSVILLE RD STE C",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742248",
            "telephone_number": "410-374-0808",
            "fax_number": "410-374-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 LOWER BECKLEYSVILLE RD STE C",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742248",
            "telephone_number": "410-374-0808",
            "fax_number": "410-374-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN LAIKEN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "LAIKEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "410-374-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0022517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786441800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.