NPIMap

Organization Active NPI

Atlantic Neurodiagnostics LLC

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Baltimore, MD
National Provider Identifier
1154665198
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
Legal business name
ATLANTIC NEURODIAGNOSTICS LLC
Practice address
1512 King William Dr
Baltimore, MD 21228-1001
Phone
(443) 351-7879
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Ed Woods
Title
Billing Manager
Phone
(301) 714-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X NU Primary

Addresses

Primary practice location

1512 King William Dr
Baltimore, MD 21228-1001

Mailing address

PO Box 1610
Fort Meade, MD 20755-3610
Phone (443) 351-7879

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1154665198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207553610",
            "telephone_number": "443-351-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 KING WILLIAM DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281001",
            "telephone_number": "443-351-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC NEURODIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "301-714-1802"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "NU",
            "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 Nov 15, 2012; 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.