Calvert Pathology LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

D22805 Issued in MD

Legal business name

CALVERT PATHOLOGY LLC

Practice address

100 Hospital Rd
Prince Frederick, MD 20678-4017

Phone

(410) 535-8327

NPI assigned

Oct 7, 2016

Last updated

Oct 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Isabel Ulanowicz, M.D.NPI 1740229970

Title

Agent

Phone

(410) 535-8327

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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.

• Nancy Isabel Ulanowicz, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Prince Frederick, MD
  • NPI 1740229970
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1740730274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 WATSON RD",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207369720",
            "telephone_number": "410-535-8327",
            "fax_number": "410-535-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-535-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "ULANOWICZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "410-535-8327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D22805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326251100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvert Internal Medicine Group, PA
• Calvert Memorial Hospital of Calvert County (CMH Laboratory Services)
• Calvert Memorial Hospital of Calvert County (CMH Woman's Wellness Center)
• Calvert Memorial Hospital of Calvert County (CMH Transitional Care Unit)
• Calvert OBGYN Associates of Southern Maryland, LLC
• Calvert Physical Therapy and Sports Fitness Center
• Calvert Physical Therapy and Sports Fitness Ctr.
• Calvert Substance Abuse Services
• Calverthealth Medical Center, Inc. (CalvertHealth Imaging Services at CCNC)
• Calverthealth Medical Center, Inc. (CalvertHealth Medical Center)

• Anatomic Pathology & Clinical Pathology Physician in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Anatomic Pathology & Clinical Pathology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.