NPIMap

Organization Active NPI

Mid-Maryland Ear Nose & Throat Specialists, P.a.

  • Otolaryngology Physician
  • Frederick, MD
National Provider Identifier
1215993977
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A.
Practice address
75 Thomas Johnson Dr
Suite B
Frederick, MD 21702-4895
Phone
(301) 695-3100
Fax
(301) 695-3100
NPI assigned
Apr 21, 2006
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Everett Talmadge Hart, M.D.NPI 1598768764
Title
President
Phone
(301) 695-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

75 Thomas Johnson Dr
Suite B
Frederick, MD 21702-4895

Mailing address

75 Thomas Johnson Dr
Suite B
Frederick, MD 21702-4895
Phone (301) 695-3100

Other identifiers 3

IdentifierTypeStateIssuer
310102900MedicaidMD
B583OtherDCCAREFIRST BLUE CROSS BLUE SHIELD NATIONAL CAPITAL AREA
KH16MIOtherMDCAREFIRST BLUE CROSS BLUE SHIELD MARYLAND

Other names 1

  • Mid-Maryland ENT Specialists, P.A. Other name

National Provider Directory

National Provider Directory

Locations

75 Thomas Johnson Dr
Ste B
Frederick, MD 21702
Phone (301) 695-3100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1215993977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895",
            "telephone_number": "301-695-3100",
            "fax_number": "301-695-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895",
            "telephone_number": "301-695-3100",
            "fax_number": "301-695-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MARYLAND EAR NOSE & THROAT SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "TALMADGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-695-3100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310102900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE SHIELD NATIONAL CAPITAL AREA",
            "identifier": "B583",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE SHIELD MARYLAND",
            "identifier": "KH16MI",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Maryland ENT Specialists, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.