NPIMap

Organization Active NPI

University of Maryland Neurosurgery Associates P a

  • Neurological Surgery Physician
  • Largo, MD
National Provider Identifier
1386519734
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
UNIVERSITY OF MARYLAND NEUROSURGERY ASSOCIATES P A
Practice address
9300 Lottsford Rd
Largo, MD 20774-4886
Phone
(410) 328-8209
Fax
(410) 328-1413
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Katelyn Pettit
Title
Reimbursement Ops Credentialing Spe
Phone
(667) 214-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

9300 Lottsford Rd
Largo, MD 20774-4886

Mailing address

PO Box 64315
Baltimore, MD 21264-4315
Phone (410) 328-8209

National Provider Directory

National Provider Directory
Tax ID family
Univ of MD Neuro Assoc PA20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1386519734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64315",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644315",
            "telephone_number": "410-328-8209",
            "fax_number": "410-328-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 LOTTSFORD RD",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744886",
            "telephone_number": "410-328-8209",
            "fax_number": "410-328-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND NEUROSURGERY ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "REIMBURSEMENT OPS CREDENTIALING SPE",
        "authorized_official_telephone_number": "667-214-1353"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.