Provider Demographics
NPI:1104928225
Name:MORRILL, ANN C (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:C
Last Name:MORRILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 SANDPIPER CIR
Mailing Address - Street 2:STE 100
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5028
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8100 SANDPIPER CIR
Practice Address - Street 2:STE 100
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21236-5028
Practice Address - Country:US
Practice Address - Phone:410-529-8334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0034931207R00000X
MDD34931207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD893743OtherMAMSI
MDE6680001OtherBCBS FED BLUE CHOICE
MD3516820WOtherBCBS
MD08783000000OtherPHN
MD29148OtherCOUNTRY
MD4330551OtherAETNA
MDP11190OtherBCBS POS
MD893743OtherMAMSI
MDE6680001OtherBCBS FED BLUE CHOICE