Baltimore-Washington Facial Plastic Surgery, LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

D0061873 Issued in MD

Legal business name

BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC

Practice address

4785 Dorsey Hall Dr
Suite 111
Ellicott City, MD 21042-7728

Phone

(877) 917-3223

Fax

(443) 219-0758

NPI assigned

Sep 2, 2010

Last updated

Jan 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas T. Le, M.D.NPI 1245245802

Title

Medical Director

Phone

(877) 917-3223

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Thomas T. Le, M.D.

  • Facial Plastic Surgery Physician
  • Ellicott City, MD
  • NPI 1245245802
  NPD (past) Authorized official

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327795200000",
    "number": "1366759938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 DORSEY HALL DR",
            "address_2": "SUITE 111",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427728",
            "telephone_number": "877-917-3223",
            "fax_number": "443-219-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 DORSEY HALL DR",
            "address_2": "SUITE 111",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427728",
            "telephone_number": "877-917-3223",
            "fax_number": "443-219-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2012-01-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "877-917-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MD",
            "license": "D0061873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Balkin, PH.D.
• Maxine Lloyd Ball, REV DR
• Tracy M Ball, D.C.
• Baltimore Columbia Surgery Center, LLC
• Baltimore Washington Endodontics
• Brittany Baptist, LMSW
• Barenburg Optical Service, Inc
• Sharon Grace Barkdoll, P.T.
• Laura Barkow, M.S., CCC-SLP
• Kevin Matthew Barnes, DDS

• Facial Plastic Surgery Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Facial Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.