Organization Active NPI

Baltimore Surgical, LLC

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1376839092
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0071504 Issued in MD
Legal business name
BALTIMORE SURGICAL, LLC
Practice address
2411 W Belvedere Ave
Ste 302
Baltimore, MD 21215-5228
Phone
(410) 542-1722
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Yassar Khalil Youssef, M.D.
Title
Physician
Phone
(410) 542-1722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X D0071504 MD Primary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X D54931 MD

Addresses

Primary practice location

2411 W Belvedere Ave
Ste 302
Baltimore, MD 21215-5228

Mailing address

PO Box 5381
Baltimore, MD 21209-0381
Phone (615) 525-1626

National Provider Directory

National Provider Directory

Locations

2411 W Belvedere Ave
Ste 302
Baltimore, MD 21215
Phone (410) 542-1722

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1376839092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5381",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212090381",
            "telephone_number": "615-525-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE",
            "address_2": "STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155228",
            "telephone_number": "410-542-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "YASSAR",
        "authorized_official_middle_name": "KHALIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-542-1722",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0071504",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D54931",
            "primary": false
        }
    ],
    "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 Jun 21, 2011; 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.