Organization Active NPI

Susquehanna Medical Associates, LLP.

  • Pulmonary Disease Physician
  • Bel Air, MD
National Provider Identifier
1376732859
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H0054439 Issued in MD
Legal business name
SUSQUEHANNA MEDICAL ASSOCIATES, LLP.
Practice address
2012 S Tollgate Rd
111
Bel Air, MD 21015-5900
Phone
(410) 569-4144
Fax
(410) 569-4147
NPI assigned
Oct 19, 2007
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Vincent A Giminaro, DONPI 1730179722
Title
Physician/Owner
Phone
(410) 569-4144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X H0054439 MD Primary

Addresses

Primary practice location

2012 S Tollgate Rd
111
Bel Air, MD 21015-5900

Mailing address

2012 S Tollgate Rd
111
Bel Air, MD 21015-5900
Phone (410) 569-4144

Other identifiers 1

IdentifierTypeStateIssuer
000241100MedicaidMD

National Provider Directory

National Provider Directory

Locations

2012 S Tollgate Rd
Ste 111
Bel Air, MD 21015
Phone (410) 560-6931

602 S Atwood Rd
Ste 208
Bel Air, MD 21014
Phone (410) 638-1468

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1376732859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "111",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "410-569-4144",
            "fax_number": "410-569-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "111",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "410-569-4144",
            "fax_number": "410-569-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA MEDICAL ASSOCIATES, LLP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "GIMINARO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "410-569-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "H0054439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000241100",
            "state": "MD"
        }
    ],
    "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 Nov 5, 2010; 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.