Organization Active NPI

Maryland Vein Professionals, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbia, MD
National Provider Identifier
1669577979
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
D0050590 Issued in MD
Legal business name
MARYLAND VEIN PROFESSIONALS, LLC
Practice address
8860 Columbia 100 Pkwy
Suite 216
Columbia, MD 21045-2195
Phone
(410) 964-8346
Fax
(410) 964-8350
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Jonathan Andrew Calure, M.D.
Title
Physician/Owner
Phone
(410) 964-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X D0050590 MD Primary

Addresses

Primary practice location

8860 Columbia 100 Pkwy
Suite 216
Columbia, MD 21045-2195

Mailing address

6030 Marshalee Dr
Suite 311
Elkridge, MD 21075
Phone (400) 964-8346

Other identifiers 1

IdentifierTypeStateIssuer
784323200MedicaidMD

National Provider Directory

National Provider Directory

Locations

8401 Connecticut Ave
Ste 210
Chevy Chase, MD 20815
Phone (240) 482-2555

8860 Columbia 100 Pkwy
Ste 216
Columbia, MD 21045
Phone (410) 644-8500

6030 Marshalee Dr
Ste 311
Elkridge, MD 21075
Phone (410) 744-8346

901 Dulaney Valley Rd
Ste 902
Towson, MD 21204

Practitioners & affiliated clinicians

Practitioners 3

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1669577979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 MARSHALEE DR",
            "address_2": "SUITE 311",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "21075",
            "telephone_number": "400-964-8346",
            "fax_number": "410-964-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY",
            "address_2": "SUITE 216",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452195",
            "telephone_number": "410-964-8346",
            "fax_number": "410-964-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND VEIN PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "CALURE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "410-964-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0050590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784323200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.