Bon Secours Baltimore Physician Group LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

BON SECOURS BALTIMORE PHYSICIAN GROUP LLC

Practice address

2000 West Baltimore Street
Phys SVCS
Baltimore, MD 21223

Phone

(410) 362-3603

NPI assigned

Jul 18, 2012

Organization subpart

Yes

Parent organization

BON SECOURS HOSPITAL BALTIMORE INCAs reported in NPPES

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

Authorized official

Name

Dr. Samuel L Ross, MD, MS

Title

Ceo

Phone

(410) 363-3000

Specialties & licenses 1

Addresses

Other names 1

• CARDIOLOGY Other name

Part of

Bon Secours Hospital-Em

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1457606196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WEST BALTIMORE STREET",
            "address_2": "PHYS SVCS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21223",
            "telephone_number": "410-362-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WEST BALTIMORE STREET",
            "address_2": "PHYS SVCS",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21223",
            "telephone_number": "410-362-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS BALTIMORE PHYSICIAN GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS HOSPITAL BALTIMORE INC",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-363-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MS"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARDIOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bolum Logistics LLC
• Emily Bomasang-Layno, M.D.
• Michael Bombardier, PHD
• Deepthi K Bommadevara, M.D; M.P.H
• Bon Secours
• Bon Secours Hospital-Mobile MRI
• Julia T Bonacum, MD
• Hugo Bonatti, MD
• Stephanie Lynn Boncich, MSN, CRNA
• Cassandra Bond

• Cardiovascular Disease Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.