NPIMap

Organization Active NPI

Eutaw Oncology Associates

  • Specialist
  • Baltimore, MD
National Provider Identifier
1508086521
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0029071 Issued in MD
Legal business name
EUTAW ONCOLOGY ASSOCIATES
Practice address
821 N Eutaw St
St 305
Baltimore, MD 21201-4648
Phone
(410) 876-5148
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Philip Howard Konits, MD
Title
President
Phone
(410) 876-5148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0029071 MD Primary

Addresses

Primary practice location

821 N Eutaw St
St 305
Baltimore, MD 21201-4648

Mailing address

PO Box 309
Westminster, MD 21158-0309
Phone (410) 876-5148

National Provider Directory

National Provider Directory

Locations

821 N Eutaw St
Ste 305
Baltimore, MD 21201
Phone (410) 669-9317

Practitioners & affiliated clinicians

Practitioners 1

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1508086521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211580309",
            "telephone_number": "410-876-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST",
            "address_2": "ST 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014648",
            "telephone_number": "410-876-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUTAW ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "KONITS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-876-5148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0029071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.