Maryland Pediatric Group, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MARYLAND PEDIATRIC GROUP, LLC

Practice address

10807 Falls Rd
Suite 200
Lutherville, MD 21093-4591

Phone

(410) 321-9393

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Amy B Cavalier

Title

Office Manager

Phone

(410) 427-1600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cary Kathryn Wendt, CPNP

  • Pediatric Nurse Practitioner
  • Baltimore, MD
  • NPI 1912021767
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1992825616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934591",
            "telephone_number": "410-321-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934591",
            "telephone_number": "410-321-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PEDIATRIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CAVALIER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-427-1600"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Martin, PT, DPT
• Vanessa I Martin
• Jacen A Martinez, P.A.
• Maryland Family Care, Inc.
• Maryland Institute for Pelvic Neuro Science LLC
• Maryland Spine Center Chartered
• Maryland Wound & Amputation Prevention, LLC
• Cindy Masom, P.T.
• Sofie Margaret Massa, DPT
• Tammie Massey-Brown

• Pediatrics Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.