NPIMap

Organization Active NPI

DRS Walzer Sullivan & Hlousek PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Annapolis, MD
National Provider Identifier
1154526648
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DRS WALZER SULLIVAN & HLOUSEK PA
Practice address
275 West Street
Suite 100
Annapolis, MD 21401
Phone
(410) 268-7790
Fax
(410) 268-7874
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Lubor Hlousek, MD DMDNPI 1124018460
Title
Owner
Phone
(410) 268-7790

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
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

275 West Street
Suite 100
Annapolis, MD 21401

Mailing address

275 West Street
Suite 100
Annapolis, MD 21401
Phone (410) 268-7790

National Provider Directory

National Provider Directory

Locations

275 West St
Ste 100
Annapolis, MD 21401
Phone (410) 268-7790

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1154526648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 WEST STREET",
            "address_2": "SUITE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-268-7790",
            "fax_number": "410-268-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 WEST STREET",
            "address_2": "SUITE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-268-7790",
            "fax_number": "410-268-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS WALZER SULLIVAN & HLOUSEK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "HLOUSEK",
        "authorized_official_first_name": "LUBOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-268-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.