NPIMap

Organization Active NPI

Azam Baig,M.D.

  • 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.
Practice address
224 Mayo Rd
Edgewater, MD 21037-2951
Phone
(410) 956-6303
Fax
(410) 956-6637
NPI assigned
Sep 14, 2006
Organization subpart
No

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

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

10845 Town Center Blvd
Ste 207
Dunkirk, MD 20754
Phone (301) 327-5093

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

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 identifiers 7

IdentifierTypeStateIssuer
181521100MedicaidMD
0453912OtherMDAETNA
C023OtherMDCAPTIAL CARE/BLUE CHOICE
0701078005OtherMDCIGNA
2653AOtherMHBLUE CROSS/BLUE SHIELD
88981OtherMDMAMSI
04531OtherMDAMERIGROUP

Other names 1

  • South River Pediatrics Doing business as

NPI Registry JSON

The complete 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181521100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0453912",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPTIAL CARE/BLUE CHOICE",
            "identifier": "C023",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0701078005",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "2653A",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "88981",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "04531",
            "state": "MD"
        }
    ],
    "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.