Organization Active NPI

Greater Baltimore Medical Center, Inc.

Doing business as GBMC DEPT OF Otolaryngology RESIDENT CLINIC

  • Otolaryngology Physician
  • Baltimore, MD
National Provider Identifier
1295788073
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
GREATER BALTIMORE MEDICAL CENTER, INC.
Doing business as
GBMC DEPT OF Otolaryngology RESIDENT CLINIC
Practice address
6535 N Charles St Ste 250
Baltimore, MD 21204-5829
Phone
(443) 849-2140
NPI assigned
May 19, 2006
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Ms. Laurie R Beyer
Title
Evp & Cfo
Phone
(443) 849-2519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

6535 N Charles St Ste 250
Baltimore, MD 21204-5829

Mailing address

6701 N Charles St
S Chapman BLDG, Ste 102
Baltimore, MD 21204-6808

Other names 1

  • GBMC DEPT OF Otolaryngology RESIDENT CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000852 MD Part B Supplier - Clinic/Group Practice 1759276975 Receives reassigned benefits from 513 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
GBMC Inc Cardiology80 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

6569 N Charles St
Ste 205
Baltimore, MD 21204
Phone (443) 849-3051

1205 York Rd
Ste 33
Lutherville Timonium, MD 21093
Phone (410) 494-7060

10 Crossroads Dr
Ste 100
Owings Mills, MD 21117
Phone (410) 363-7172

515 Fairmount Ave
Ste 610
Towson, MD 21286

6535 N Charles St
Ste 401
Towson, MD 21204

6565 N Charles St
Ste 601
Towson, MD 21204
Phone (410) 821-5151

6569 N Charles St
#411
Towson, MD 21204

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1295788073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "S CHAPMAN BLDG, STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST STE 250",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045829",
            "telephone_number": "443-849-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BALTIMORE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "443-849-2519",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GBMC DEPT OF Otolaryngology RESIDENT CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.