University of Maryland Medical Center, LLC
Organization Active NPI General Acute Care Hospital · Baltimore, MD
NPI 1659779171 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1659779171
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
- Practice address
- 701 W Pratt St
5TH Floor - Suite 564
Baltimore, MD 21201-1023 - Phone
- (410) 328-7037
- NPI assigned
- Dec 16, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF MARYLAND MEDICAL CENTER
Authorized official
- Name
- George Sprinkel
- Title
- Cfo
- Phone
- (410) 328-1501
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 16
Practitioners 10
-
Ann L Hackman, M.D
-
Ian Biblanias Mores, CRNA
-
Ann Patricia Worth, FNP
-
Jaime Nicole Debrabander, CRNA
-
Curtis N Adams, MD
-
Rachael Funk, LCSW-C
-
Joseph Hargadon, LCSW-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040427000918 | MD | Part B Supplier - Clinic/Group Practice | 7113914771 |
Receives reassigned benefits from 148 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD |
| O20240322001322 | MD | Part B Supplier - Clinic/Group Practice | 7113379256 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD |
National Provider Directory
- Tax ID family
- Univ of MD Med Ctr LLC
- Part of
- University of MD Commun
Locations
11 S Paca St
Lowr
Baltimore, MD 21201
Phone (410) 328-6566
701 W Pratt St
Fl 5
Baltimore, MD 21201
Phone (410) 328-2564
110 S Paca St
Ste 4N147
Baltimore, MD 21201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
701 W Pratt St
5TH Floor - Suite 564
Baltimore, MD 21201-1023
Mailing address
110 S Paca St
Suite 4-N-147
Baltimore, MD 21201-1642
Phone (410) 328-7037
Other names
- UMMC Community Psychiatry Integrated Care
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- University of Maryland Medical Center, LLC
- University of Maryland Medical Center, LLC
- University of Maryland Medical Center, LLC
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All providers in Baltimore, MD · General Acute Care Hospital in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.