The Adult & Pediatric Urology GRP of MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

THE ADULT & PEDIATRIC UROLOGY GRP OF MD

Practice address

4801 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7766

Phone

(410) 646-0330

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Bridget Mastrounni

Title

Administrator

Phone

(410) 646-0330

Specialties & licenses 1

Addresses

Tax ID family

The Adult Pediatric Urology GRP of MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Adult & Pediatric Urology GRP of MD

  • Urology Physician
  • Ellicott City, MD
  • NPI 1639370273
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurence C Bezirdjian, M.D.

  • Urology Physician
  • Baltimore, MD
  • NPI 1144372202
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023210267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR",
            "address_2": "SUITE 201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR",
            "address_2": "SUITE 201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427766",
            "telephone_number": "410-646-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADULT & PEDIATRIC UROLOGY GRP OF MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTROUNNI",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-646-0330"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple Healthcare LLC
• Temple Healthcare LLC
• Ma. Christina Evardone Tendoy, P.T.
• Felicia Lynn Tenny, LMT
• Lidet Tesema
• The Adult & Pediatric Urology GRP of MD
• The Art of Living Well Counseling LLC
• The Body Mind Center, LLC
• The Gallion Manor
• The Great Atlantic and Pacific Tea Company Inc

• Urology Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Urology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.