NPIMap

Organization Active NPI

White Square Vascular Surgery PA

  • Vascular Surgery Physician
  • Bel Air, MD
National Provider Identifier
1336992775
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
WHITE SQUARE VASCULAR SURGERY PA
Practice address
602 S Atwood Rd Ste 201
Bel Air, MD 21014-4396
Phone
(410) 918-1525
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Nbial Abu-Ghaida
Title
Practice Manager
Phone
(410) 918-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

602 S Atwood Rd Ste 201
Bel Air, MD 21014-4396

Mailing address

5233 King Ave Ste 208
Rosedale, MD 21237-4003
Phone (141) 091-8152

National Provider Directory

National Provider Directory
Tax ID family
Dr Ahmad Abu-Ghaida MD PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1336992775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 KING AVE STE 208",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "141-091-8152",
            "fax_number": "410-918-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S ATWOOD RD STE 201",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144396",
            "telephone_number": "410-918-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SQUARE VASCULAR SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "ABU-GHAIDA",
        "authorized_official_first_name": "NBIAL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-918-1525"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "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 Apr 8, 2024; 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.