NPIMap

Organization Active NPI

Upper Chesapeake Surgical Associates, LLC

  • Surgery Physician
  • Bel Air, MD
National Provider Identifier
1548017635
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC
Practice address
515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5234
Phone
(443) 643-3130
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Marcus Thomas Augustus Priolo
Title
Ao
Phone
(443) 643-3344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5234

Mailing address

900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Phone (443) 462-5010

National Provider Directory

National Provider Directory
Tax ID family
Uppr Chesapeake SRGL Assoc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1548017635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELKRIDGE LANDING RD FL 2",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902924",
            "telephone_number": "443-462-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S TOLLGATE RD STE 200",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145234",
            "telephone_number": "443-643-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "PRIOLO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "THOMAS AUGUSTUS",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "443-643-3344"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.