Jean Albert Midy MD PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

D0026720 Issued in MD

Legal business name

JEAN ALBERT MIDY MD PA

Practice address

1940 W Baltimore St
Baltimore, MD 21223-2245

Phone

(410) 298-8223

Fax

(410) 298-8225

NPI assigned

May 12, 2007

Organization subpart

No

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

Authorized official

Name

Jean Albert Midy, MD PA

Title

Owner

Phone

(410) 997-9255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1255546263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11441 HIGH HAY DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441027",
            "telephone_number": "410-997-9255",
            "fax_number": "410-298-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232245",
            "telephone_number": "410-298-8223",
            "fax_number": "410-298-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN ALBERT MIDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "MIDY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-997-9255",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0026720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Vascular Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.