Organization Active NPI

George H. Sack, Jr LLC

  • Ph.D. Medical Genetics
  • Baltimore, MD
National Provider Identifier
1508188434
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
D13190 Issued in MD
Legal business name
GEORGE H. SACK, JR LLC
Practice address
5801 Smith Ave
Suite 305
Baltimore, MD 21209-3652
Phone
(410) 735-6605
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Dr. George H Sack Jr., M.D.
Title
President
Phone
(410) 735-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X D13190 MD Primary

Addresses

Primary practice location

5801 Smith Ave
Suite 305
Baltimore, MD 21209-3652

Mailing address

5801 Smith Ave
Suite 305
Baltimore, MD 21209-3652
Phone (410) 735-6605

National Provider Directory

National Provider Directory

Locations

5801 Smith Ave
Ste 305
Baltimore, MD 21209
Phone (410) 735-6605

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1508188434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 SMITH AVE",
            "address_2": "SUITE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093652",
            "telephone_number": "410-735-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 SMITH AVE",
            "address_2": "SUITE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093652",
            "telephone_number": "410-735-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE H. SACK, JR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-735-6605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "MD",
            "license": "D13190",
            "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 Feb 19, 2010; 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.