NPIMap

Organization Active NPI

Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA

  • Specialist
  • Baltimore, MD
National Provider Identifier
1104832948
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
Practice address
16 S Eutaw St
5TH FL
Baltimore, MD 21201-1606
Phone
(410) 328-6897
Fax
(410) 328-2109
NPI assigned
Aug 1, 2006
Last updated
Oct 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Dr. Rodney Taylor, MDNPI 1306853791
Title
Chairman
Phone
(667) 214-2370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

16 S Eutaw St
5TH FL
Baltimore, MD 21201-1606

Mailing address

PO Box 64693
Baltimore, MD 21264-4693
Phone (410) 328-6897

Other identifiers 2

IdentifierTypeStateIssuer
409035700MedicaidMD
925BUNOtherMDBCBS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050729000661 MD Part B Supplier - Clinic/Group Practice 8820026974 Receives reassigned benefits from 34 practitioners
14 other NPIs on this enrollment
Practice locations: Towson, MD; Lutherville, MD; Columbia, MD; College Park, MD; Bel Air, MD; Baltimore, MD

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory

Locations

16 S Eutaw St
Ste 510
Baltimore, MD 21201

16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791

1952 Pulaski Hwy
Ste A
Edgewood, MD 21040

6110 Executive Blvd
Ste 460
Rockville, MD 20852
Phone (240) 833-2921

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1104832948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64693",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644693",
            "telephone_number": "410-328-6897",
            "fax_number": "410-328-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "5TH FL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-6897",
            "fax_number": "410-328-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "667-214-2370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409035700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "925BUN",
            "state": "MD"
        }
    ],
    "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 Oct 31, 2024; 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.