Provider Demographics
NPI:1407800154
Name:CARMODY, FRANCIS XAVIER SR (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:XAVIER
Last Name:CARMODY
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 OSLER DRIVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-296-1406
Mailing Address - Fax:410-296-2615
Practice Address - Street 1:7505 OSLER DRIVE
Practice Address - Street 2:SUITE 212
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-296-1406
Practice Address - Fax:410-296-2615
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0001373207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD05625Medicaid
MD35191601OtherBCBS
MD2123Medicare ID - Type Unspecified
B68778Medicare UPIN