NPIMap

Organization Active NPI

Surgical Associates of Maryland

  • Specialist
  • Elkton, MD
National Provider Identifier
1558762906
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGICAL ASSOCIATES OF MARYLAND
Practice address
300 E Pulaski Hwy
Suite 122
Elkton, MD 21921-6737
Phone
(410) 398-0590
Fax
(443) 485-6531
NPI assigned
Sep 4, 2014
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Maryam Awan, M.D.NPI 1932387578
Title
Sole MBR
Phone
(410) 398-0590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

300 E Pulaski Hwy
Suite 122
Elkton, MD 21921-6737

Mailing address

PO Box 428
Elkton, MD 21922-0428
Phone (410) 398-0590

National Provider Directory

National Provider Directory

Locations

300 E Pulaski Hwy
Ste 122
Elkton, MD 21921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1558762906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220428",
            "telephone_number": "410-398-0590",
            "fax_number": "443-485-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PULASKI HWY",
            "address_2": "SUITE 122",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216737",
            "telephone_number": "410-398-0590",
            "fax_number": "443-485-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "AWAN",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "410-398-0590",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.