Organization Active NPI

Osler Surgical LLC

  • Surgery Physician
  • Towson, MD
National Provider Identifier
1588974141
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OSLER SURGICAL LLC
Practice address
7600 Osler Drive
Suite 302
Towson, MD 21204
Phone
(410) 296-3092
Fax
(410) 494-6442
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Alfonso P. Zalduondo, M.D.
Title
Owner
Phone
(410) 296-3092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

7600 Osler Drive
Suite 302
Towson, MD 21204

Mailing address

7600 Osler Dr
Suite 302
Towson, MD 21204-7735
Phone (410) 296-3092

Other identifiers 5

IdentifierTypeStateIssuer
444260100OtherMDMEDICAL ASSISTANCE
DR4178OtherGARAILROAD MEDICARE
CB4VAPOtherMDCAREFIRST
207127OtherMDMEDICARE
X743OtherDCCAREFIRST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1588974141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "SUITE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047735",
            "telephone_number": "410-296-3092",
            "fax_number": "410-494-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DRIVE",
            "address_2": "SUITE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-296-3092",
            "fax_number": "410-494-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSLER SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "ZALDUONDO",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-296-3092",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "444260100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR4178",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "CB4VAP",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "207127",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "X743",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.