NPIMap

Organization Active NPI

Annapolis Ear Nose Throat & Allergy Associates P a

  • Otolaryngology Physician
  • Annapolis, MD
National Provider Identifier
1477589117
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0055675 Issued in MD
Legal business name
ANNAPOLIS EAR NOSE THROAT & ALLERGY ASSOCIATES P A
Practice address
2002 Medical Parkway
Ste 230
Annapolis, MD 21401-3046
Phone
(410) 266-3900
Fax
(410) 266-9245
NPI assigned
Jun 24, 2006
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Mr. Joydeep Som, MDNPI 1568590586
Title
Physician
Phone
(410) 841-5279

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X D0055675 MD Primary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X D0039443 MD
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X D0055715 MD
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X D0066415 MD

Addresses

Primary practice location

2002 Medical Parkway
Ste 230
Annapolis, MD 21401-3046

Mailing address

2002 Medical Parkway
Ste 230
Annapolis, MD 21401-3046
Phone (410) 266-3900

National Provider Directory

National Provider Directory

Locations

2002 Medical Pkwy
Ste 260
Annapolis, MD 21401

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1477589117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PARKWAY",
            "address_2": "STE 230",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-266-3900",
            "fax_number": "410-266-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PARKWAY",
            "address_2": "STE 230",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-266-3900",
            "fax_number": "410-266-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS EAR NOSE THROAT & ALLERGY ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "SOM",
        "authorized_official_first_name": "JOYDEEP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-841-5279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0055675",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0039443",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0055715",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0066415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.