INTERNAL MEDICINE PRACTICE, P.A. – NPI #1336231950
Clinic/Center

INTERNAL MEDICINE PRACTICE, P.A. is an AHC clinic located in HAGERSTOWN, MD. NPPES has assigned the NPI number 1336231950 to INTERNAL MEDICINE PRACTICE, P.A. on September 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 14 years ago on Feb 06, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERNAL MEDICINE PRACTICE, P.A. below.

NPI Profile for
INTERNAL MEDICINE PRACTICE, P.A.

NPI Number
1336231950
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTERNAL MEDICINE PRACTICE, P.A.
Primary location
324 E ANTIETAM ST STE 306
HAGERSTOWN, MD 21740-5768
Phone: (301) 739-0240 Fax: (301) 797-8546
Mailing address
18300 THUNDERCLOUD RD
BOYDS, MD 20841-4380
Phone: (301) 540-2076 Fax: (301) 540-5073
Organization Subpart
No
Authorized Official
KODUAH PEPRAH
DIRECTOR
Phone: (301) 996-7900
Updated
Identifiers

Identifiers for INTERNAL MEDICINE PRACTICE, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD336619700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.