Organization Active NPI

Elw, MD, LLC

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1376382242
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELW, MD, LLC
Practice address
1021 N Calvert St
Baltimore, MD 21202-3823
Phone
(410) 637-8255
Fax
(410) 637-8277
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Eric L. Weisbrot, MD
Title
President
Phone
(410) 637-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1021 N Calvert St
Baltimore, MD 21202-3823

Mailing address

PO Box 13066
Baltimore, MD 21203-3066
Phone (410) 637-8255

National Provider Directory

National Provider Directory

Locations

1021 N Calvert St
Ste 1
Baltimore, MD 21202

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1376382242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13066",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212033066",
            "telephone_number": "410-637-8255",
            "fax_number": "410-637-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N CALVERT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023823",
            "telephone_number": "410-637-8255",
            "fax_number": "410-637-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELW, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "WEISBROT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-637-8255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 May 21, 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.