Active NPI
Susquehanna Medical Associates, LLP.
- Pulmonary Disease Physician
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- H0054439
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent A Giminaro, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000241100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pulmonary Disease Physician
- Bel Air, MD
- NPI 1730179722
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.