33Rd Street Surgery Center LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

D35559 Issued in MD

Legal business name

33RD STREET SURGERY CENTER LLC

Practice address

3333 N Calvert St Ste 360
Baltimore, MD 21218-2867

Phone

(410) 554-4455

Fax

(410) 554-2839

NPI assigned

Jul 17, 2006

Organization subpart

No

Name

Ms. Annette Marie Martyn

Title

Administrator

Phone

(847) 888-9000

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

• Mohammad Abraham Kazemizadeh Gol, M.D.

  • Otolaryngology Physician
  • Baltimore, MD
  • NPI 1952626418
  NPD Otolaryngology
• Hassen Omer Mohammed, M.D.

  • Otolaryngology Physician
  • Johnstown, PA
  • NPI 1295289429
  NPD Otolaryngology
• Hosai N Todd Hesham, MD

  • Otolaryngology Physician
  • Roanoke, VA
  • NPI 1225288608
  NPD Otolaryngology
• Jacqueline Mary Hoffman

  • Nurse Practitioner
  • Lutherville, MD
  • NPI 1386344497
  NPD (past)
• Akaber Halawi, M.D.

  • Otolaryngology Physician
  • Jacksonville, FL
  • NPI 1255610648
  NPD (past) Otolaryngology

Listed as

33Rd Street Surgery Center LLCCCN 21C0001384

Medicare certification status

Active (Provider of Services file)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2025.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1467470930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 630",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-554-4455",
            "fax_number": "410-554-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 360",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-554-4455",
            "fax_number": "410-554-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "33RD STREET SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "MARTYN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-888-9000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D35559",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0057335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404565300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1356522",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPTIMUM CHOICE",
            "identifier": "7441931",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007456615",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amartyn@specialtycareent.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3333 N Calvert St Ste 630",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212182867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Baltimore, MD
• Otolaryngology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.