NPIMap

Organization Active NPI

Chesapeake Neurology & Spine at St. Mary's

  • Specialist
  • Charlotte Hall, MD
National Provider Identifier
1285721522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHESAPEAKE NEUROLOGY & SPINE AT ST. MARY'S
Practice address
37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone
(410) 828-8100
Fax
(410) 882-3310
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael L Ashburn
Title
Client Manager
Phone
(410) 828-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

37767 Market Dr
Charlotte Hall, MD 20622-3188

Mailing address

8725 Loch Raven Blvd
Suite 200
Towson, MD 21286-2227
Phone (410) 828-8100

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Multispeciality Physicians12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8725 Loch Raven Blvd
Ste 200
Towson, MD 21286
Phone (410) 828-8100

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285721522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 LOCH RAVEN BLVD",
            "address_2": "SUITE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862227",
            "telephone_number": "410-828-8100",
            "fax_number": "410-882-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37767 MARKET DR",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223188",
            "telephone_number": "410-828-8100",
            "fax_number": "410-882-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE NEUROLOGY & SPINE AT ST. MARY'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHBURN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLIENT MANAGER",
        "authorized_official_telephone_number": "410-828-8100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.