Center for Urologic Specialties LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

D43400 Issued in MD

Legal business name

CENTER FOR UROLOGIC SPECIALTIES LLC

Practice address

5051 Greenspring Ave Ste 302
Baltimore, MD 21209-4358

Phone

(410) 601-1441

Fax

(410) 601-1438

NPI assigned

May 7, 2018

Last updated

May 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stanley Mark Redwood, M.D.

Title

Medical Director

Phone

(410) 601-1441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1225527179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094358",
            "telephone_number": "410-601-1441",
            "fax_number": "410-601-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094358",
            "telephone_number": "410-601-1441",
            "fax_number": "410-601-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR UROLOGIC SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "REDWOOD",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-601-1441",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D43400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.