University of Maryland Neurosurgery Associates P a

Organization Active NPI Neurological Surgery Physician · Largo, MD

NPI 1386519734 · NPPES record last updated Oct 7, 2025

Key facts

NPI
1386519734
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 18

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

National Provider Directory

Tax ID family
Univ of MD Neuro Assoc PA (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207T00000X Yes

Addresses

Primary practice location

9300 Lottsford Rd
Largo, MD 20774-4886

Mailing address

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

Other providers in Largo, MD

All providers in Largo, MD · Neurological Surgery Physician in Maryland

Sources for this page

Verify at the official NPI Registry.