NPIMap

Organization Active NPI

Upper Chesapeake Womens Care, LLC

  • Obstetrics & Gynecology Physician
  • Bel Air, MD
National Provider Identifier
1275843013
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
UPPER CHESAPEAKE WOMENS CARE, LLC
Practice address
510 Upper Chesapeake Dr
Suite 518
Bel Air, MD 21014-4328
Phone
(443) 643-4530
Fax
(443) 643-4535
NPI assigned
Oct 14, 2010
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
UPPER CHESAPEAKE MEDICAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Marcus Thomas Augustus Priolo
Title
Cfo
Phone
(443) 643-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

510 Upper Chesapeake Dr
Suite 518
Bel Air, MD 21014-4328

Mailing address

510 Upper Chesapeake Dr
Suite 518
Bel Air, MD 21014-4328
Phone (443) 643-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000015 MD Part B Supplier - Clinic/Group Practice 8628254356 Receives reassigned benefits from 27 practitioners
Practice locations: Bel Air, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1005170Upper Chesapeake Womens Care LLC510 Upper Chesapeake Drive Ste 518, Bel Air, MD 21014Provider-performed microscopyOct 15, 2026

National Provider Directory

National Provider Directory
Part of
Upper Chesapeake Medica

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

510 Upper Chesapeake Dr
Ste 518
Bel Air, MD 21014
Phone (443) 643-4530

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1275843013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 518",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144328",
            "telephone_number": "443-643-4530",
            "fax_number": "443-643-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 518",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144328",
            "telephone_number": "443-643-4530",
            "fax_number": "443-643-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CHESAPEAKE WOMENS CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPPER CHESAPEAKE MEDICAL SERVICES, INC.",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "PRIOLO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "THOMAS AUGUSTUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-643-3340"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.