Active NPI
Sofia Suriel MD PA
- Internal Medicine Physician
- Nottingham, MD
National Provider Identifier
1255599890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SOFIA SURIEL MD PA
- Practice address
- 8870 Belair Rd
Nottingham, MD 21236-2401 - Phone
- (410) 248-3124
- Fax
- (410) 248-3125
- NPI assigned
- May 30, 2008
- 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
- Dr. Sofia M Suriel, M. D.
- Title
- President
- Phone
- (410) 248-3124
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X |
Addresses
Primary practice location
8870 Belair Rd
Nottingham, MD 21236-2401
Mailing address
308 E Timonium Rd
Timonium, MD 21093-2836
Phone (410) 248-3124
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185191800 | Medicaid | MD | |
| 0J0M | Other | MD | BCBS |
| W488 | Other | MD | BCBS |
| 9010 | Other | MD | CAREFIRST BLUECHOICE |
National Provider Directory
National Provider DirectoryLocations
8870 Belair Rd
Nottingham, MD 21236
Phone (410) 248-3124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1255599890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 E TIMONIUM RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932836",
"telephone_number": "410-248-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8870 BELAIR RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212362401",
"telephone_number": "410-248-3124",
"fax_number": "410-248-3125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOFIA SURIEL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SURIEL",
"authorized_official_first_name": "SOFIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-248-3124",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185191800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0J0M",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W488",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "9010",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.