Maryland Neuroophthalmology, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0028905 Issued in MD

Legal business name

MARYLAND NEUROOPHTHALMOLOGY, LLC

Practice address

1777 Reisterstown Rd
Suite 234
Baltimore, MD 21208-1306

Phone

(410) 580-1800

NPI assigned

Nov 14, 2007

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shalom Elihu Kelman, M.D.NPI 1093853244

Title

Physician

Phone

(410) 580-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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.

• Shalom Elihu Kelman, MD

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1093853244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1093996423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "address_2": "SUITE 234",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081306",
            "telephone_number": "410-580-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "address_2": "SUITE 234",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081306",
            "telephone_number": "410-580-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND NEUROOPHTHALMOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "KELMAN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_middle_name": "ELIHU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-580-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0028905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110181430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryland Medical Day Services, LLC
• Maryland Medical First P.a.
• Maryland Medical Rehabilitation, P.C.
• Maryland Metro Rehab LLC
• Maryland Nephrology Clinic LLC
• Maryland Nuclear Medicine Associates
• Maryland Pharmacists Association
• Maryland Pharmacy and Home Infusion Inc. (Zonetak Pharmacy 3)
• Maryland Pharmacy and Home Infusion Inc. (Zonetak Pharmacy 4)
• Maryland Physical Therapy Group, Inc. Ta Mid-Towne Medical Group, Inc. (Mid-Towne Medical Group, Inc.)

• Ophthalmology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.