Organization Active NPI

Maryland Oncology Hematology, P.a.

  • Multi-Specialty Clinic/Center
  • Eldersburg, MD
National Provider Identifier
1699517128
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MARYLAND ONCOLOGY HEMATOLOGY, P.A.
Practice address
5961 Exchange Dr Ste 100
Eldersburg, MD 21784-9266
Phone
(410) 964-2122
Fax
(410) 964-0380
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Robert Davis
Title
Executive Director
Phone
(202) 909-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5961 Exchange Dr Ste 100
Eldersburg, MD 21784-9266

Mailing address

11720 Beltsville Dr Ste 300
Beltsville, MD 20705-3119
Phone (240) 223-1893

Other names 1

  • MARYLAND ONCOLOGY HEMATOLOGY, P.A. Other name

National Provider Directory

National Provider Directory
Tax ID family
Maryland Oncology Hematology PA38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1699517128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 BELTSVILLE DR STE 300",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053119",
            "telephone_number": "240-223-1893",
            "fax_number": "301-326-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 EXCHANGE DR STE 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217849266",
            "telephone_number": "410-964-2122",
            "fax_number": "410-964-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND ONCOLOGY HEMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-909-3301"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYLAND ONCOLOGY HEMATOLOGY, P.A.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MARYLAND ONCOLOGY HEMATOLOGY, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.