Organization Active NPI

Massimo S Fiandaca MD PA

  • Neurological Surgery Physician
  • Columbia, MD
National Provider Identifier
1679754360
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D41956 Issued in MD
Legal business name
MASSIMO S FIANDACA MD PA
Practice address
11055 Little Patuxent Pkwy # 209
Columbia, MD 21044
Phone
(410) 772-3685
Fax
(410) 772-3686
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. Massimo Salvatore Fiandaca, M.DNPI 1326063264
Title
Physician
Phone
(410) 925-8526

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 D41956 MD Primary

Addresses

Primary practice location

11055 Little Patuxent Pkwy # 209
Columbia, MD 21044

Mailing address

11055 Little Patuxent Pkwy #209
Columbia, MD 21044
Phone (410) 772-3685

National Provider Directory

National Provider Directory

Locations

2435 W Belvedere Ave
Ste 54
Baltimore, MD 21215
Phone (410) 601-1010

Practitioners & affiliated clinicians

Practitioners 1

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": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1679754360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY #209",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-772-3685",
            "fax_number": "410-772-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY # 209",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-772-3685",
            "fax_number": "410-772-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSIMO S FIANDACA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "FIANDACA",
        "authorized_official_first_name": "MASSIMO",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-925-8526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D41956",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 30, 2008; 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.