Organization Active NPI

Mavrophilipos & Mavrophilipos

  • Surgery Physician
  • Parkville, MD
National Provider Identifier
1487710901
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0050622 Issued in MD
Legal business name
MAVROPHILIPOS & MAVROPHILIPOS
Practice address
8113 Harford Rd
Suite 100
Parkville, MD 21234-5707
Phone
(410) 882-5256
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Zacharias V Mavrophilipos, MDNPI 1366587297
Title
Doctor
Phone
(410) 882-5256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X D0050622 MD Primary

Addresses

Primary practice location

8113 Harford Rd
Suite 100
Parkville, MD 21234-5707

Mailing address

1639 E Baltimore Street
Baltimore, MD 21231
Phone (410) 882-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000651 MD Part B Supplier - Clinic/Group Practice 6507024619 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

405 N Paca St
Fl 1
Baltimore, MD 21201
Phone (410) 725-8961

405 N Paca St
Ste 100
Baltimore, MD 21201
Phone (410) 560-1892

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1487710901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 E BALTIMORE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21231",
            "telephone_number": "410-882-5256",
            "fax_number": "410-882-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 HARFORD RD",
            "address_2": "SUITE 100",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345707",
            "telephone_number": "410-882-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVROPHILIPOS & MAVROPHILIPOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MAVROPHILIPOS",
        "authorized_official_first_name": "ZACHARIAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-882-5256",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0050622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.