Active NPI
Chesapeake Ear, Nose & Throat, P.a.
- Otolaryngology Physician
- Owings Mills, MD
National Provider Identifier
1083827828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- CHESAPEAKE EAR, NOSE & THROAT, P.A.
- Practice address
- 23 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5420 - Phone
- (410) 356-2626
- NPI assigned
- May 8, 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
- Michael D. Weiss, M.D.
- Title
- President
- Phone
- (410) 356-2626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD | Primary |
Addresses
Primary practice location
23 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5420
Mailing address
23 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5420
Phone (410) 356-2626
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429981700 | Medicaid | MD | |
| E400 | Other | MD | FEP GRP # |
| K291 | Other | MD | BCBS GROUP NUMBER |
| E400 | Other | MD | BLUE CHOICE GRP # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1083827828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CROSSROADS DR",
"address_2": "SUITE 400",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175420",
"telephone_number": "410-356-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CROSSROADS DR",
"address_2": "SUITE 400",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175420",
"telephone_number": "410-356-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE EAR, NOSE & THROAT, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-356-2626",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "429981700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEP GRP #",
"identifier": "E400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "K291",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE GRP #",
"identifier": "E400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
- Chelsea Manzon Lcswc, Apc
- Erica Cherry
- Kameron J Cherry, BEHAVIOR TECHNICIAN
- Chesapeake Developmental Support Services
- Chesapeake Developmental Support Services
- Chesapeake Medcare Services, Inc
- Chesapeake Podiatry Group PA
- Chesapeake Urology Associates LLC
- Chesapeake Urology Associates P.a.
- Chesapeake Urology Associates P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.