NPIMap

Organization Active NPI

Azar/Filipov MD PA

  • Ophthalmology Physician
  • Salisbury, MD
National Provider Identifier
1700889755
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
AZAR/FILIPOV MD PA
Practice address
31519 Winterplace Pkwy
Ste 1
Salisbury, MD 21804-1884
Phone
(410) 546-2500
Fax
(410) 546-5005
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. Alex Azar, M.D.
Title
President
Phone
(410) 546-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

31519 Winterplace Pkwy
Ste 1
Salisbury, MD 21804-1884

Mailing address

31519 Winterplace Pkwy
Ste 1
Salisbury, MD 21804-1884
Phone (410) 546-2500

Other identifiers 1

IdentifierTypeStateIssuer
063341100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040731000348 MD Part B Supplier - Clinic/Group Practice 7911987516 Receives reassigned benefits from 6 practitioners
Practice locations: Berlin, MD; Salisbury, MD
O20050914000617 DE Part B Supplier - Clinic/Group Practice 7911987516 Receives reassigned benefits from 4 practitioners
Practice locations: Laurel, DE
O20200521002343 MD DME Supplier - Physician - OphthalmologyDME Supplier - Optician 7911987516 Practice locations: Salisbury, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Azarfilipov MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

11031 Nicholas Ln
Ste 2
Ocean Pnes, MD 21811
Phone (410) 208-4604

560 Riverside Dr
Ste 103A
Salisbury, MD 21801
Phone (410) 546-2500

31519 Winterplace Pkwy
Salisbury, MD 21804
Phone (443) 260-2828

Practitioners & affiliated clinicians

Practitioners 7

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": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1700889755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31519 WINTERPLACE PKWY",
            "address_2": "STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041884",
            "telephone_number": "410-546-2500",
            "fax_number": "410-546-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31519 WINTERPLACE PKWY",
            "address_2": "STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041884",
            "telephone_number": "410-546-2500",
            "fax_number": "410-546-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAR/FILIPOV MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-546-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063341100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.