NPIMap

Organization Active NPI

Maryland Asthma and Allergy Center CHTD

  • Specialist
  • Baltimore, MD
National Provider Identifier
1720014269
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0046941 Issued in MD
Legal business name
MARYLAND ASTHMA AND ALLERGY CENTER CHTD
Practice address
2800 Quarry Lake Drive
Suite 100
Baltimore, MD 21209-1306
Phone
(410) 486-2000
Fax
(410) 486-0825
NPI assigned
Jun 25, 2006
Last updated
Jun 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Dr. Prasad M Nataraj, M.D.
Title
Ceo/Owner
Phone
(410) 486-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0046941 MD Primary

Addresses

Primary practice location

2800 Quarry Lake Drive
Suite 100
Baltimore, MD 21209-1306

Mailing address

2800 Quarry Lake Drive
Suite 100
Baltimore, MD 21209-1306
Phone (410) 486-2000

Other identifiers 1

IdentifierTypeStateIssuer
149841000MedicaidMD

National Provider Directory

National Provider Directory

Locations

2800 Quarry Lake Dr
Ste 100
Baltimore, MD 21209
Phone (410) 486-2000

844 Washington Rd
Ste 201
Westminster, MD 21157
Phone (410) 486-2000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1720014269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 QUARRY LAKE DRIVE",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091306",
            "telephone_number": "410-486-2000",
            "fax_number": "410-486-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 QUARRY LAKE DRIVE",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091306",
            "telephone_number": "410-486-2000",
            "fax_number": "410-486-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND ASTHMA AND ALLERGY CENTER CHTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "NATARAJ",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "410-486-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0046941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149841000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.