Ross Van Antwerp DO MPH PA Laser Center of Maryland

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

H0033830 Issued in MD

Legal business name

ROSS VAN ANTWERP DO MPH PA LASER CENTER OF MARYLAND

Practice address

484 Ritchie Hwy Ste a
Severna Park, MD 21146-2911

Phone

(410) 544-4600

Fax

(410) 544-0997

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Ross James Vanantwerp, D.O.NPI 1790924512

Title

President

Phone

(410) 544-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ross J Vanantwerp, D.O., M.P.H.

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1790924512
  Medicare reassignment NPD Authorized official
• Hope Honigsberg, FNP-C

  • Adult Medicine Physician
  • Columbia, MD
  • NPI 1619530342
  Medicare reassignment NPD
• Jared Emerson Mallalieu, D.O.

  • Surgery Physician
  • Severna Park, MD
  • NPI 1033393996
  Medicare reassignment NPD

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1356537443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 RITCHIE HWY STE A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462961",
            "telephone_number": "410-544-4600",
            "fax_number": "410-544-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 RITCHIE HWY STE A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462911",
            "telephone_number": "410-544-4600",
            "fax_number": "410-544-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS VAN ANTWERP DO MPH PA LASER CENTER OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "VANANTWERP",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-544-4600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "H0033830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP",
            "identifier": "8581RJ",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercedes Lyn Rodgers, BEHAVIOR TECHNICIAN
• Mariam Iris Rodriguez, 106S00000X
• Michelle Phillips Rodriguez
• Victoria Rogers, LCPC
• Thomas Harlowe Root, PHARMD
• Sandra Goody Rosswork, PH.D.
• Rothschild'S Orthopedic Appliances, Inc
• Stacey W Russell, DDS
• Rutzen Eye Specialists
• Allan R Rutzen, MD

• Health Service Clinic/Center in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.