Organization Active NPI

University of Maryland Neurosurgery Associates P a

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1104735224
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
UNIVERSITY OF MARYLAND NEUROSURGERY ASSOCIATES P A
Practice address
351 W Camden St FL 6
Baltimore, MD 21201-2473
Phone
(410) 328-6034
Fax
(410) 328-0756
NPI assigned
Sep 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Vance Cresic
Title
Director
Phone
(667) 225-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

351 W Camden St FL 6
Baltimore, MD 21201-2473

Mailing address

PO Box 64315
Baltimore, MD 21264-4315
Phone (410) 328-8209

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1104735224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64315",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644315",
            "telephone_number": "410-328-8209",
            "fax_number": "410-328-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W CAMDEN ST FL 6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012473",
            "telephone_number": "410-328-6034",
            "fax_number": "410-328-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND NEUROSURGERY ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "CRESIC",
        "authorized_official_first_name": "VANCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "667-225-3010"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.