Organization Active NPI

Frizzera Berlin & Collerius MD PA

  • Obstetrics & Gynecology Physician
  • Towson, MD
National Provider Identifier
1710166319
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0054728 Issued in MD
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

Updated by the provider on Jul 29, 2010

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
479801500MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.