Chesapeake Bay Surgical Assistants

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

CHESAPEAKE BAY SURGICAL ASSISTANTS

Practice address

6814 Chand CT
Baltimore, MD 21237-3869

Phone

(410) 868-1629

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Louis Kalisch, SA-C

Title

Surgical Assistant

Phone

(410) 868-1629

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1528516879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 CHAND CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373869",
            "telephone_number": "410-868-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6814 CHAND CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373869",
            "telephone_number": "410-868-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE BAY SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "KALISCH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "410-868-1629",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16-375",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lediya Tesfaye Cheru, M.D.
• Sumanth Cherukumilli, MD
• Annet Cherusseril
• Pavan Kumar Cheruvu, M.D.
• Chesapeake Bay Aquatic & Physical Therapy
• Chesapeake Behavioral Health Services
• Chesapeake Cardio-Thoracic Surgery
• Chesapeake Cardiovascular Associates LLC
• Chesapeake Cardiovascular Associates, LLC
• Chesapeake Dental Group LLC

• Surgical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.