Active NPI
Wyman Park ASC Series
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
National Provider Identifier
1285817247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WYMAN PARK ASC SERIES
- Practice address
- 3100 Wyman Park Dr
Suite 300
Baltimore, MD 21211-2803 - Phone
- (410) 338-3636
- Fax
- (410) 338-3140
- NPI assigned
- Dec 13, 2007
- 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
- Ms. Linda Gilligan
- Title
- Vice President
- Phone
- (410) 338-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3100 Wyman Park Dr
Suite 300
Baltimore, MD 21211-2803
Mailing address
3100 Wyman Park Dr
Suite 300
Baltimore, MD 21211-2803
Phone (410) 338-3636
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1013738285
Member Of
Locations
3100 Wyman Park Dr
Ste 300
Baltimore, MD 21211
Phone (410) 338-3636
3100 Wyman Park Dr
Ste 326
Baltimore, MD 21211
Phone (410) 338-3636
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1407899040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1285817247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WYMAN PARK DR",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112803",
"telephone_number": "410-338-3636",
"fax_number": "410-338-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 WYMAN PARK DR",
"address_2": "SUITE 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112803",
"telephone_number": "410-338-3636",
"fax_number": "410-338-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WYMAN PARK ASC SERIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "GILLIGAN",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "410-338-3636",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.