Active NPI
Seabreeze Medical Inc
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1578703757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D66269
- Legal business name
- SEABREEZE MEDICAL INC
- Practice address
- 300 E Lombard St
Baltimore, MD 21202-3219 - Phone
- (443) 683-5594
- NPI assigned
- Feb 27, 2009
- 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
- Ryan J Tedford
- Title
- Ceo
- Phone
- (443) 683-5594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D66269 | MD | Primary |
Addresses
Primary practice location
300 E Lombard St
Baltimore, MD 21202-3219
Mailing address
300 E Lombard St
Baltimore, MD 21202-3219
National Provider Directory
National Provider DirectoryLocations
8132 Firestone Blvd
Ste 930
Downey, CA 90241
Phone (562) 382-5718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243468800000",
"number": "1578703757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E LOMBARD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E LOMBARD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023219",
"telephone_number": "443-683-5594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEABREEZE MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-27",
"last_updated": "2009-05-28",
"status": "A",
"authorized_official_last_name": "TEDFORD",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-683-5594"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D66269",
"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 May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.