NPIMap

Organization Active NPI

OB-GYN Specialists of Maryland, LLC

  • Specialist
  • Towson, MD
National Provider Identifier
1487824009
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OB-GYN SPECIALISTS OF MARYLAND, LLC
Practice address
100 West Rd Ste 404
Towson, MD 21204-2368
Phone
(410) 832-5511
Fax
(410) 832-5560
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Mrs. Lisa M Van Blargan
Title
Office Manager
Phone
(410) 832-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

100 West Rd Ste 404
Towson, MD 21204-2368

Mailing address

100 West Rd Ste 404
Towson, MD 21204-2368
Phone (410) 832-5511

National Provider Directory

National Provider Directory

Locations

100 West Rd
Ste 404
Towson, MD 21204
Phone (410) 832-5511

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1487824009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 404",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042368",
            "telephone_number": "410-832-5511",
            "fax_number": "410-832-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 404",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042368",
            "telephone_number": "410-832-5511",
            "fax_number": "410-832-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN SPECIALISTS OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "VAN BLARGAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-832-5511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.