NPIMap

Organization Active NPI

Cecilia Medical Center

  • Multi-Specialty Clinic/Center
  • Ellicott City, MD
National Provider Identifier
1003527813
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CECILIA MEDICAL CENTER
Practice address
3219 Corporate CT
Ellicott City, MD 21042-2247
Phone
(443) 929-1462
NPI assigned
Dec 13, 2022
Last updated
Dec 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Constance Ayuk Tataw, AGPCNPNPI 1225599368
Title
NP
Phone
(443) 929-1462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3219 Corporate CT
Ellicott City, MD 21042-2247

Mailing address

3938 Rolling Rd
Pikesville, MD 21208-2455
Phone (443) 929-1462

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1003527813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 ROLLING RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082455",
            "telephone_number": "443-929-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CORPORATE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422247",
            "telephone_number": "443-929-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "TATAW",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "AYUK",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "443-929-1462",
        "authorized_official_credential": "AGPCNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.