Active NPI
DRS Kime Gipson and Sutula PA
- Cytopathology Physician
- Baltimore, MD
National Provider Identifier
1437331550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- Legal business name
- DRS KIME GIPSON AND SUTULA PA
- Practice address
- 3001 S Hanover St
Na114
Baltimore, MD 21225-1233 - Phone
- (410) 350-2112
- NPI assigned
- Nov 30, 2007
- 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
- Susan Mary McDonald
- Title
- Director of Billing
- Phone
- (410) 350-2193
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | |||
| Clinical Pathology Physician | 207ZC0006X | |||
| Cytopathology Physician | 207ZC0500X | Primary | ||
| Dermatopathology (Pathology) Physician | 207ZD0900X | |||
| Forensic Pathology Physician | 207ZF0201X | |||
| Hematology (Pathology) Physician | 207ZH0000X | |||
| Immunopathology Physician | 207ZI0100X | |||
| Medical Microbiology Physician | 207ZM0300X | |||
| Neuropathology Physician | 207ZN0500X | |||
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Chemical Pathology Physician | 207ZP0104X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Pediatric Pathology Physician | 207ZP0213X |
Addresses
Primary practice location
3001 S Hanover St
Na114
Baltimore, MD 21225-1233
Mailing address
3001 S Hanover St
Na114
Baltimore, MD 21225-1233
Phone (410) 350-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W299 | Other | MD | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
3001 S Hanover St
Ste 408
Baltimore, MD 21225
Phone (301) 355-1900
3001 S Hanover St
#408
Baltimore, MD 21225
Phone (410) 355-1900
3001 S Hanover St
#114
Baltimore, MD 21225
Phone (410) 350-2112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1437331550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 S HANOVER ST",
"address_2": "NA114",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212251233",
"telephone_number": "410-350-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 S HANOVER ST",
"address_2": "NA114",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212251233",
"telephone_number": "410-350-2112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS KIME GIPSON AND SUTULA PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "410-350-2193"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZC0006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ZD0900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Forensic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Immunopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Medical Microbiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Neuropathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Molecular Genetic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0104X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Chemical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Pediatric Pathology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "W299",
"state": "MD"
}
],
"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 Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.