NPIMap

Organization Active NPI

Obstetrical and Gynecological Assoc of the University of Maryland PA

  • Clinical Medical Laboratory
  • Baltimore, MD
National Provider Identifier
1720163876
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
AFP 723 Issued in MD
Legal business name
OBSTETRICAL AND GYNECOLOGICAL ASSOC OF THE UNIVERSITY OF MARYLAND PA
Practice address
419 W Redwood St
Suite 500
Baltimore, MD 21201-1751
Phone
(410) 320-6640
Fax
(410) 328-3379
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Rick Eugene Brinegar
Title
Director Prfoessional Fees
Phone
(410) 328-0353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X AFP 723 MD Primary
Clinical Medical Laboratory 291U00000X 723 MD

Addresses

Primary practice location

419 W Redwood St
Suite 500
Baltimore, MD 21201-1751

Mailing address

110 South Paca St
Suite 6N300
Baltimore, MD 21201-1751
Phone (410) 328-0253

Other identifiers 1

IdentifierTypeStateIssuer
AFP 723OtherMDLAB NUMBER

Other names 1

  • Academic Dept Other name

National Provider Directory

National Provider Directory
Tax ID family
Obstetrical and Gynecological Assoc of the University of Maryland PA22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

700 W Lombard St
Fl 1
Baltimore, MD 21201

800 Linden Ave
#10
Baltimore, MD 21201

110 S Paca St
Ste 6N300
Baltimore, MD 21201

510 Upper Chesapeake Dr
Ste 505
Bel Air, MD 21014

14999 Health Center Dr
Ste 106
Bowie, MD 20716

7310 Ritchie Hwy
Ste 518
Glen Burnie, MD 21061

8601 Veterans Hwy
Millersville, MD 21108
Phone (410) 729-4450

4231 Postal Ct
Ste 102
Pasadena, MD 21122
Phone (410) 553-8260

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1720163876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH PACA ST",
            "address_2": "SUITE 6N300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011751",
            "telephone_number": "410-328-0253",
            "fax_number": "410-328-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011751",
            "telephone_number": "410-320-6640",
            "fax_number": "410-328-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICAL AND GYNECOLOGICAL ASSOC OF THE UNIVERSITY OF MARYLAND PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "BRINEGAR",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DIRECTOR PRFOESSIONAL FEES",
        "authorized_official_telephone_number": "410-328-0353"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "AFP 723",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB NUMBER",
            "identifier": "AFP 723",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academic Dept",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 4, 2008; 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.