Organization Active NPI

Pediatric Partners LLC

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1750108031
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC PARTNERS LLC
Practice address
8600 Lasalle Avenue
Potomac Building Suite 105
Baltimore, MD 21286
Phone
(410) 823-5232
Fax
(410) 296-0257
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Chrissy L Off
Title
Business Manager
Phone
(410) 638-0537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8600 Lasalle Avenue
Potomac Building Suite 105
Baltimore, MD 21286

Mailing address

4C North Ave Ste 400
Bel Air, MD 21014-2333
Phone (410) 638-0537

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0708002Pediatric Partners LLC8600 Lasalle Rd Suite 105, Towson, MD 21286Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Partners LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1750108031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 400",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142333",
            "telephone_number": "410-638-0537",
            "fax_number": "240-383-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LASALLE AVENUE",
            "address_2": "POTOMAC BUILDING SUITE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-823-5232",
            "fax_number": "410-296-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "OFF",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-638-0537"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.