Organization Active NPI

Sinai Hospital of Baltimore, Inc

Doing business as BW Primary Care, LLC

  • Family Medicine Physician
  • Sykesville, MD
National Provider Identifier
1467606319
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30-062 Issued in MD
Legal business name
SINAI HOSPITAL OF BALTIMORE, INC
Doing business as
BW Primary Care, LLC
Practice address
6190 Georgetown Blvd
Sykesville, MD 21784-6460
Phone
(410) 552-5050
Fax
(410) 552-0200
NPI assigned
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SINAI HOSPITAL OF BALTIMORE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Barbara J Epke
Title
Vice President
Phone
(410) 601-5131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 30-062 MD
Family Medicine Physician 207Q00000X 30-062 MD Primary

Addresses

Primary practice location

6190 Georgetown Blvd
Sykesville, MD 21784-6460

Mailing address

2401 W Belvedere Ave
Credentialing
Baltimore, MD 21215-5216
Phone (410) 601-5523

Other names 1

  • BW Primary Care, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Sinai Ophthalmolgy Asso

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1467606319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "CREDENTIALING",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5523",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 GEORGETOWN BLVD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846460",
            "telephone_number": "410-552-5050",
            "fax_number": "410-552-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINAI HOSPITAL OF BALTIMORE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINAI HOSPITAL OF BALTIMORE, INC",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "EPKE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-601-5131"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "30-062",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "30-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BW Primary Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.