Maternity Partners

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MATERNITY PARTNERS

Practice address

220 Wiltshire LN
Severna Park, MD 21146-4039

Phone

(410) 703-3987

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

David Wagner

Title

Ceo

Phone

(410) 703-3987

Specialties & licenses 4

Addresses

Other names 2

• Blue Goose Partners Doing business as
• Maternity Partners Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1225793334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WILTSHIRE LN",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464039",
            "telephone_number": "410-703-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WILTSHIRE LN",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464039",
            "telephone_number": "410-703-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNITY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-703-3987"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dave@bluegoosepartners.com",
            "affiliation": "N",
            "address_1": "220 Wiltshire Ln",
            "city": "Severna Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211464039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blue Goose Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maternity Partners",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Paula Mastboom-Bell, P.T.
• Todd Mathews, MS OTR
• Maya a. Vernon, DDS, LLC
• Sabrina Jeanette Mayer, RBT
• Karen Louise McClure, C.R.N.P
• Amirah McCoy

• Durable Medical Equipment & Medical Supplies in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.