Organization Active NPI

Maryland Center for Neuro-Ophthalmology & Neuro-Otology, P.C.

  • Neurology Physician
  • Columbia, MD
National Provider Identifier
1740455039
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D46633 Issued in MD
Legal business name
MARYLAND CENTER FOR NEURO-OPHTHALMOLOGY & NEURO-OTOLOGY, P.C.
Practice address
10724 Little Patuxent Pkwy Ste 101
Columbia, MD 21044-3253
Phone
(410) 740-1000
Fax
(410) 740-1003
NPI assigned
Apr 28, 2008
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Dr. Nathaniel Carter, M.D.NPI 1902863566
Title
President/Ceo
Phone
(410) 740-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D46633 MD Primary

Addresses

Primary practice location

10724 Little Patuxent Pkwy Ste 101
Columbia, MD 21044-3253

Mailing address

10724 Little Patuxent Pkwy Ste 101
Columbia, MD 21044-3253
Phone (410) 740-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628001313 MD Part B Supplier - Clinic/Group Practice 0749266948 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory

Locations

10724 Little Patuxent Pkwy
Ste 101
Columbia, MD 21044
Phone (301) 598-6320

11055 Little Patuxent Pkwy
Ste L2
Columbia, MD 21044
Phone (410) 740-1000

Practitioners & affiliated clinicians

Practitioners 1

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": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1740455039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10724 LITTLE PATUXENT PKWY STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443253",
            "telephone_number": "410-740-1000",
            "fax_number": "410-740-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10724 LITTLE PATUXENT PKWY STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443253",
            "telephone_number": "410-740-1000",
            "fax_number": "410-740-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND CENTER FOR NEURO-OPHTHALMOLOGY & NEURO-OTOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-740-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D46633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.