NPIMap

Organization Active NPI

Annapolis ENT Surgical Center LLC

  • Audiologist
  • Rosedale, MD
National Provider Identifier
1689403289
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ANNAPOLIS ENT SURGICAL CENTER LLC
Practice address
5233 King Ave Ste 112
Rosedale, MD 21237-4003
Phone
(410) 356-2626
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Erin Bezek
Title
Credentialing Coordinator
Phone
(410) 266-6267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

5233 King Ave Ste 112
Rosedale, MD 21237-4003

Mailing address

5233 King Ave Ste 112
Rosedale, MD 21237-4003

Other names 1

  • Chesapeake Specialty Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Annapolis ENT Surgical Center LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1689403289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 KING AVE STE 112",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 KING AVE STE 112",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "410-356-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS ENT SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "BEZEK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "410-266-6267"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chesapeake Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.