Provider Demographics
NPI:1427104504
Name:MARCIA V. ORMSBY, M.D.P.C
Entity type:Organization
Organization Name:MARCIA V. ORMSBY, M.D.P.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:ORMSBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-224-1144
Mailing Address - Street 1:116 DEFENSE HWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7027
Mailing Address - Country:US
Mailing Address - Phone:410-224-1144
Mailing Address - Fax:410-266-7803
Practice Address - Street 1:116 DEFENSE HWY
Practice Address - Street 2:SUITE 500
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7027
Practice Address - Country:US
Practice Address - Phone:410-224-1144
Practice Address - Fax:410-266-7803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD36671208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD057MMedicare ID - Type Unspecified