Mario O Belledonne Pa
LBN: Mario O Belledonne Pa
Mario O Belledonne Pa is an health care organization with primary practice located at 8200 Tuckerman Ln , Potomac MD 20854-3744. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Mario O Belledonne Pa can be contacted via phone (301) 605-7878, or through Belledonne, Mario O via phone (301) 605-7878.
Contact Information
Primary practice address
8200 Tuckerman Ln
Potomac MD 20854-3744
Phone: (301) 605-7878
Fax: (301) 605-7878
Website:
Authorized official contact:
Name: Belledonne, Mario O Doctor of Medicine (MD)
Phone: (301) 605-7878
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D-23177 | Maryland |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D-23177 | Maryland |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D-23177 | Maryland |
Profile Details
| NPI number | 1477855823 |
|---|---|
| LBN Legal business name | Mario O Belledonne Pa |
| DBA Doing business as | |
| Authorized official | Belledonne, Mario O Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2010 |
| Last updated | May 12th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477855823 | NPPES |
| Maryland | Other | 6009-0001 | CAREFIRST BC/BS |
| Maryland | Other | 4050855 | CAREFIRST BC/BS |
| Maryland | Other | 272698 | CAREFIRST BC/BS |
| Maryland | MEDICAID | 323311100 | CAREFIRST BC/BS |
| Maryland | Other | 1020192 | CAREFIRST BC/BS |
| Maryland | Other | 127742 | CAREFIRST BC/BS |
| Maryland | Other | 379065 | CAREFIRST BC/BS |
| Maryland | Other | 837442 | CAREFIRST BC/BS |
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