Active NPI
Union Memorial Hospital
- Sports Medicine (Family Medicine) Physician
- Baltimore, MD
National Provider Identifier
1619107299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- UNION MEMORIAL HOSPITAL
- Practice address
- 3333 N Calvert St
JPB, Suite 210
Baltimore, MD 21218-2867 - Phone
- (410) 554-6868
- NPI assigned
- Jul 17, 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
- Dr. Stuart Bell
- Title
- V. P. of Medical Affairs
- Phone
- (410) 554-2000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | Primary | ||
| Pediatric Sports Medicine Physician | 2080S0010X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
3333 N Calvert St
JPB, Suite 210
Baltimore, MD 21218-2867
Mailing address
201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433AUN | Other | MD | CAREFIRST BC/BS MD |
| 8811 | Other | MD | CAREFIRST BC/BS DC |
National Provider Directory
National Provider Directory- Tax ID family
- Umh Professional Servic
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Locations
3333 N Calvert St
Ste 210
Baltimore, MD 21218
Phone (410) 554-2223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249948800000",
"number": "1619107299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E UNIVERSITY PKWY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182829",
"telephone_number": "410-554-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 N CALVERT ST",
"address_2": "JPB, SUITE 210",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182867",
"telephone_number": "410-554-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-17",
"last_updated": "2009-08-11",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "V. P. OF MEDICAL AFFAIRS",
"authorized_official_telephone_number": "410-554-2000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS MD",
"identifier": "433AUN",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS DC",
"identifier": "8811",
"state": "MD"
}
],
"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 Aug 11, 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.