NPIMap

Organization Active NPI

Harford Surgical Associates

  • Physician Assistant
  • Colora, MD
National Provider Identifier
1467521377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0001139 Issued in MD
Legal business name
HARFORD SURGICAL ASSOCIATES
Practice address
79 Piccadilly CT
Colora, MD 21917-1540
Phone
(410) 937-6331
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Smith, PACNPI 1568531473
Title
Chief PA
Phone
(410) 937-6331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0001139 MD Primary

Addresses

Primary practice location

79 Piccadilly CT
Colora, MD 21917-1540

Mailing address

79 Piccadilly CT
Colora, MD 21917-1540
Phone (410) 937-6331

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467521377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 PICCADILLY CT",
            "city": "COLORA",
            "state": "MD",
            "postal_code": "219171540",
            "telephone_number": "410-937-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 PICCADILLY CT",
            "city": "COLORA",
            "state": "MD",
            "postal_code": "219171540",
            "telephone_number": "410-937-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARFORD SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF PA",
        "authorized_official_telephone_number": "410-937-6331",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colora, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.