Chesapeake Neurosurgery, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

D0047743 Issued in MD

Legal business name

CHESAPEAKE NEUROSURGERY, LLC

Practice address

2700 Quarry Lake Drive
Suite 360
Baltimore, MD 21209

Phone

(410) 486-0090

Fax

(410) 486-0093

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jessica M Clark

Title

Office Manager

Phone

(410) 486-0090

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1720197924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DRIVE",
            "address_2": "SUITE 360",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-486-0090",
            "fax_number": "410-486-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DRIVE",
            "address_2": "SUITE 360",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-486-0090",
            "fax_number": "410-486-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE NEUROSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-486-0090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0047743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407922100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chesapeake Lithotripsy Enterprises, L.P.
• Chesapeake Lithotripsy Partners, L.P.
• Chesapeake Lithotripsy Ventures, L.P.
• Chesapeake Lithotripsy West, L.P.
• Chesapeake Mobile Lab
• Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
• Chesapeake Open MRI LLC (Chesapeake Medical Imaging)
• Chesapeake Pain Management, LLC
• Chesapeake Recovery and Wellness Center
• Chesapeake Rehab Equipment Inc (Numotion)

• Neurological Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Neurological Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.