NPIMap

Organization Active NPI

Azam Baig,M.D.

Doing business as South River Pediatrics

  • Primary Care Clinic/Center
  • Edgewater, MD
National Provider Identifier
1124123716
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0020882 Issued in MD
Legal business name
AZAM BAIG,M.D.
Doing business as
South River Pediatrics
Practice address
224 Mayo Rd
Edgewater, MD 21037-2951
Phone
(410) 956-6303
Fax
(410) 956-6637
NPI assigned
Sep 14, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Azam Baig, MDNPI 1043203664
Title
Owner President
Phone
(410) 956-6303

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
Primary Care Clinic/Center 261QP2300X D0020882 MD Primary

Addresses

Primary practice location

224 Mayo Rd
Edgewater, MD 21037-2951

Mailing address

224 Mayo Rd
Edgewater, MD 21037-2951
Phone (410) 956-6303

Other names 1

  • South River Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Azam Baigmd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

224 Mayo Rd
Edgewater, MD 21037
Phone (410) 956-6303

224 Mayo Rd
Ste A
Edgewater, MD 21037
Phone (410) 956-6302

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1124123716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 MAYO RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372951",
            "telephone_number": "410-956-6303",
            "fax_number": "410-956-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MAYO RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372951",
            "telephone_number": "410-956-6303",
            "fax_number": "410-956-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAM BAIG,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "AZAM",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "410-956-6303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0020882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South River Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.