Organization Active NPI

Annapolis-Bowie Cardiovascular PC

  • Medical Specialty Clinic/Center
  • Annapolis, MD
National Provider Identifier
1497947048
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D0026765 Issued in MD
Legal business name
ANNAPOLIS-BOWIE CARDIOVASCULAR PC
Practice address
1204 West St
Annapolis, MD 21401-3610
Phone
(410) 263-0799
Fax
(410) 263-4021
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Hector Klotey Collison, MD
Title
Owner/Physician
Phone
(410) 263-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D0026765 MD Primary

Addresses

Primary practice location

1204 West St
Annapolis, MD 21401-3610

Mailing address

1204 West St
Annapolis, MD 21401-3610
Phone (410) 263-0799

Other identifiers 4

IdentifierTypeStateIssuer
1639248347OtherMDINDIVIDUAL NPI
64152OtherMDUNITED HEALTCARE
2629OtherMDBLUE CHOICE
70RMHKOtherMDCAREFIRST BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1497947048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 WEST ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013610",
            "telephone_number": "410-263-0799",
            "fax_number": "410-263-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 WEST ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013610",
            "telephone_number": "410-263-0799",
            "fax_number": "410-263-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS-BOWIE CARDIOVASCULAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "COLLISON",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "KLOTEY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "410-263-0799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0026765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639248347",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTCARE",
            "identifier": "64152",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "2629",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "70RMHK",
            "state": "MD"
        }
    ],
    "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 Feb 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.