NALLIN FAMILY HEALTH CARE , NPI 1598841157 — CUMBERLAND (MD)

NPI 1598841157

13+ Years Experience Organization

NALLIN FAMILY HEALTH CARE

10/27/2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1598841157
NPI NUMBER

About NALLIN FAMILY HEALTH CARE

NALLIN FAMILY HEALTH CARE is a provider established in CUMBERLAND, MD. The NPI number of NALLIN FAMILY HEALTH CARE is 1598841157 and was assigned on 10/27/2006. The practitioners primary taxonomy code is: 207Q00000X with license number: D34812 MD .

Mailing address

  • City: CUMBERLAND
  • State: MD
  • Postal code: 215021817
  • Phone: 3017775008
  • Fax: 3017775331
  • Address: 909B SETON DR

Primary Practice Address

  • Region : CUMBERLAND, MD
  • NPI : 1598841157
  • Phone : 3017775008
  • Fax : 3017775331
  • Postalcode : 215021817
  • Address : 909B SETON DR

Additional identifiers

  • Identifier: K900
  • Code / Type : 1 - other
  • Identifier state : DC
  • Identifier issuer: BC/BS DC

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 1783392
  • Code / Type : 1 - other
  • Identifier state : PA
  • Identifier issuer : HIGHMARK BC/BS

Provider taxonomy - Family Medicine

  • Taxonomy code: 207Q00000X
  • License number: D34812
  • License state: MD

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP.

Taxonomy description: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Contacts:

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  • NALLIN FAMILY HEALTH CARE
  • Address : 909B SETON DR
  • Region : CUMBERLAND, MD
  • NPI : 1598841157
  • Phone : 3017775008
  • Fax : 3017775331
  • Postalcode : 215021817

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 3017775005
  • Title or position : OFFICE MANAGER
  • Credentials : M.D.

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address909B SETON DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCUMBERLAND
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMD
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code215021817
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3017775008
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3017775331
The fax number associated with the location address of the provider being identified.
NPI1598841157
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207Q00000X
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Provider Enumeration Date10/27/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)NALLIN FAMILY HEALTH CARE
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address909B SETON DR
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameCUMBERLAND
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code215021817
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3017775008
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3017775331
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameEMERICK
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameCHERI
The first name of the authorized official
Authorized Official Middle NameA
The middle name of the authorized official
Authorized Official Title or PositionOFFICE MANAGER
The title or position of the authorized official
Authorized Official Credential TextM.D.
Authorized Official Credential Text
Authorized Official Telephone Number3017775005
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1207Q00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Provider License Number 1D34812
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1K900
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1DC
Other Provider Identifier State #1
Other Provider Identifier Issuer 1BC/BS DC
Other Provider Identifier Issuer #1
Other Provider Identifier 21783392
Other Provider Identifier #2
Other Provider Identifier Type 21
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2PA
Other Provider Identifier State #2
Other Provider Identifier Issuer 2HIGHMARK BC/BS
Other Provider Identifier Issuer #2
X

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