Active NPI
Amy Stump, MD
- Surgery Physician
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D65863
- Practice address
- 203 Hospital Dr
Suite 304
Glen Burnie, MD 21061-6904 - Phone
- (410) 553-8384
- NPI assigned
- Feb 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D65863 | MD | Primary |
Addresses
Primary practice location
203 Hospital Dr
Suite 304
Glen Burnie, MD 21061-6904
Mailing address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4594
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224066ZEZT | Other | MD | MEDICARE |
| 044087600 | Medicaid | MD | |
| 309429 | Other | MD | KAISER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Northwestern University Feinberg Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
203 Hospital Dr
Glen Burnie, MD 21061-6904
Phone (410) 553-8351
219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845
255 Hospital Dr
Glen Burnie, MD 21061-5801
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000
313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 18 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D65863 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Arundel Physicians Associates, LLC | Past | Accepting new patients | |
| Baltimore Washington Professional Services Inc. | Surgery | Past | Accepting new patients |
| Baltimore Washington Medical Center Inc. | Surgery | Past | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
300 Hospital Dr
Ste 126
Glen Burnie, MD 21061
Phone (410) 787-4897
255 Hospital Dr
Ste 109
Glen Burnie, MD 21061
Phone (410) 553-8384
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
305 Hospital Dr
Lowr
Glen Burnie, MD 21061
Phone (410) 553-8359
203 Hospital Dr
Ste 304
Glen Burnie, MD 21061
Phone (410) 553-8042
Interoperability endpoints
- astump7684@direct.umm.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Internal Medicine Physician
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-
- Internal Medicine Physician
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Surgery
-
- Surgery Physician
- Glen Burnie, MD
- NPI 1821277856
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1275669392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615803",
"telephone_number": "410-787-4594",
"fax_number": "410-787-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 HOSPITAL DR",
"address_2": "SUITE 304",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616904",
"telephone_number": "410-553-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "AMY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D65863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "224066ZEZT",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044087600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "309429",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.