NPIMap

Organization Active NPI

Ira M. Garonzik, M.D., P.a.

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1619097359
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
IRA M. GARONZIK, M.D., P.A.
Practice address
5051 Greenspring Ave
Suite 101
Baltimore, MD 21209-4354
Phone
(410) 664-3680
Fax
(410) 664-3686
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Ira M Garonzik, MDNPI 1104894781
Title
Physician
Phone
(410) 664-3680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

5051 Greenspring Ave
Suite 101
Baltimore, MD 21209-4354

Mailing address

5051 Greenspring Ave
Suite 101
Baltimore, MD 21209-4354
Phone (410) 664-3680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050729000904 MD Part B Supplier - Clinic/Group Practice 7113955295 Receives reassigned benefits from 3 practitioners
Practice locations: Baltimore, MD
O20100930084469 MD DME Supplier - Physician - General Surgery 7113955295 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

5051 Greenspring Ave
Ste 101
Baltimore, MD 21209
Phone (410) 294-2227

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1619097359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094354",
            "telephone_number": "410-664-3680",
            "fax_number": "410-664-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094354",
            "telephone_number": "410-664-3680",
            "fax_number": "410-664-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA M. GARONZIK, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GARONZIK",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-664-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.