Organization Active NPI

Chesapeake Ear, Nose & Throat, P.a.

  • Otolaryngology Physician
  • Owings Mills, MD
National Provider Identifier
1083827828
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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

Updated by the provider on Jul 28, 2008

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
429981700MedicaidMD
E400OtherMDFEP GRP #
K291OtherMDBCBS GROUP NUMBER
E400OtherMDBLUE CHOICE GRP #

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.