Provider Demographics
NPI:1235203209
Name:JOHN A APPIOTT DO PC
Entity Type:Organization
Organization Name:JOHN A APPIOTT DO PC
Other - Org Name:FEDERALSBURG FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:APPIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:410-754-2440
Mailing Address - Street 1:3304 HAYMAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:FEDERALSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21632-2626
Mailing Address - Country:US
Mailing Address - Phone:410-754-2440
Mailing Address - Fax:410-754-2443
Practice Address - Street 1:3304 HAYMAN DRIVE
Practice Address - Street 2:
Practice Address - City:FEDERALSBURG
Practice Address - State:MD
Practice Address - Zip Code:21632-2626
Practice Address - Country:US
Practice Address - Phone:410-754-2440
Practice Address - Fax:410-754-2443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0047522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD372261900Medicaid
MDG13093Medicare UPIN
MD372261900Medicaid
266MMedicare PIN