Active NPI
Mid-Atlantic ENT, LLC
- Otolaryngology Physician
- Severna Park, MD
National Provider Identifier
1225880966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- MID-ATLANTIC ENT, LLC
- Practice address
- 479 Jumpers Hole Rd Ste 304
Severna Park, MD 21146-1734 - Phone
- (410) 573-9191
- Fax
- (410) 573-5910
- NPI assigned
- Apr 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Allan Kleiman, MD
- Title
- Medical Director
- Phone
- (410) 573-9191
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X |
Addresses
Primary practice location
479 Jumpers Hole Rd Ste 304
Severna Park, MD 21146-1734
Mailing address
600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082
Phone (410) 573-9191
Other names 1
- Anne Arundel ENT & Facial Plastic Surgery
National Provider Directory
National Provider Directory- Tax ID family
- Anne Arundel ENT Facial Plastic Surgery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Annapolis, MD
- NPI 1932951670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1225880966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE STE 110",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011082",
"telephone_number": "410-573-9191",
"fax_number": "410-573-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 JUMPERS HOLE RD STE 304",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211461734",
"telephone_number": "410-573-9191",
"fax_number": "410-573-5910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-ATLANTIC ENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-04",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "KLEIMAN",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "ALLAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "410-573-9191",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anne Arundel ENT & Facial Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.