NPIMap

Organization Active NPI

Chesapeake Neurosurgical Services LLC

  • Neurological Surgery Physician
  • Easton, MD
National Provider Identifier
1063732576
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
CHESAPEAKE NEUROSURGICAL SERVICES LLC
Practice address
505 Dutchmans LN
BLDG a
Easton, MD 21601-4302
Phone
(410) 822-9117
Fax
(410) 820-0512
NPI assigned
Jun 7, 2010
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Gerald M Walsh
Title
Interim President/Ceo
Phone
(410) 822-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

505 Dutchmans LN
BLDG a
Easton, MD 21601-4302

Mailing address

505 Dutchmans LN
BLDG a
Easton, MD 21601-4302
Phone (410) 822-9117

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1063732576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DUTCHMANS LN",
            "address_2": "BLDG A",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014302",
            "telephone_number": "410-822-9117",
            "fax_number": "410-820-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DUTCHMANS LN",
            "address_2": "BLDG A",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014302",
            "telephone_number": "410-822-9117",
            "fax_number": "410-820-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE NEUROSURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INTERIM PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-822-1000"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.