Active NPI
George H. Sack, Jr LLC
- Ph.D. Medical Genetics
- Baltimore, MD
National Provider Identifier
1508188434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- D13190
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 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 DirectoryLocations
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.