Active NPI
University of Maryland Medical Center
- Emergency Care Clinic/Center
- Baltimore, MD
National Provider Identifier
1053448688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- License
- H0046145
- Legal business name
- UNIVERSITY OF MARYLAND MEDICAL CENTER
- Practice address
- 110 S Paca St
6TH Floor, Suite 200
Baltimore, MD 21201-1642 - Phone
- (410) 328-8025
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Kristen Farrell
- Title
- Credentialing Coordinator
- Phone
- (410) 328-8025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | H0046145 | MD | Primary |
Addresses
Primary practice location
110 S Paca St
6TH Floor, Suite 200
Baltimore, MD 21201-1642
Mailing address
2011 Martins Grant CT
Crownsville, MD 21032-1932
Phone (410) 328-8025
National Provider Directory
National Provider Directory- Tax ID family
- University of Maryland Emergency Medicine Associates PA
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1003760315
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1639635931
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1760336077
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1790639086
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1811704208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053448688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 MARTINS GRANT CT",
"city": "CROWNSVILLE",
"state": "MD",
"postal_code": "210321932",
"telephone_number": "410-328-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PACA ST",
"address_2": "6TH FLOOR, SUITE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642",
"telephone_number": "410-328-8025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF MARYLAND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "410-328-8025",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "MD",
"license": "H0046145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- University of Maryland Family Medicine Associates, P.a.
- University of Maryland Family Medicine Associates, PA
- University of Maryland Family Medicine Associates, PA
- University of Maryland Family Medicine Behavioral Health
- University of Maryland Med Systems Corp - Harambee
- University of Maryland Medical Center
- University of Maryland Medical Center
- University of Maryland Medical Center
- University of Maryland Medical Center
- University of Maryland Medical Center
Sources for this page
- 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.