Organization Active NPI

Seabreeze Medical Inc

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1578703757
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D66269 Issued in MD
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

Updated by the provider on May 28, 2009

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.