NPIMap

Organization Active NPI

Annapolis ENT Surgical Center LLC

Doing business as Chesapeake Specialty Care

  • Specialist
  • Prince Frederick, MD
National Provider Identifier
1720817307
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ANNAPOLIS ENT SURGICAL CENTER LLC
Doing business as
Chesapeake Specialty Care
Practice address
130 Hospital Rd Ste 101
Prince Frederick, MD 20678-4029
Phone
(410) 535-6975
NPI assigned
Jul 31, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Erin Bezek
Title
Credentialing Coordinator
Phone
(410) 266-6267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

130 Hospital Rd Ste 101
Prince Frederick, MD 20678-4029

Mailing address

130 Hospital Rd Ste 101
Prince Frederick, MD 20678-4029

Other names 1

  • Chesapeake Specialty Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Annapolis ENT Surgical Center LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1720817307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784029",
            "telephone_number": "410-535-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS ENT SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "BEZEK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CREDENTIALING  COORDINATOR",
        "authorized_official_telephone_number": "410-266-6267"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chesapeake Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.