Active NPI
Frizzera Berlin & Collerius MD PA
- Obstetrics & Gynecology Physician
- Towson, MD
National Provider Identifier
1710166319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0054728
- Legal business name
- FRIZZERA BERLIN & COLLERIUS MD PA
- Practice address
- 7401 Osler Drive
Suite 205
Towson, MD 21204-7622 - Phone
- (410) 828-8077
- Fax
- (410) 828-8078
- NPI assigned
- Oct 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Collerius, MD
- Title
- Physician Owner
- Phone
- (410) 828-8077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0054728 | MD | Primary |
Addresses
Primary practice location
7401 Osler Drive
Suite 205
Towson, MD 21204-7622
Mailing address
7401 Osler Drive
Suite 205
Towson, MD 21204-7622
Phone (410) 828-8077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 479801500 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
7401 Osler Dr
Ste 205
Towson, MD 21204
Phone (410) 828-8077
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Towson, MD
- NPI 1730347147
-
- Advanced Practice Midwife
- Towson, MD
- NPI 1649284340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280361600000",
"number": "1710166319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 OSLER DRIVE",
"address_2": "SUITE 205",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047622",
"telephone_number": "410-828-8077",
"fax_number": "410-828-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 OSLER DRIVE",
"address_2": "SUITE 205",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047622",
"telephone_number": "410-828-8077",
"fax_number": "410-828-8078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIZZERA BERLIN & COLLERIUS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-31",
"last_updated": "2010-07-29",
"status": "A",
"authorized_official_last_name": "COLLERIUS",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "410-828-8077",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0054728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "479801500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.