NPIMap

Organization Active NPI

White Square Vascular Surgery PA

  • Vascular Surgery Physician
  • Rosedale, MD
National Provider Identifier
1750133104
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
WHITE SQUARE VASCULAR SURGERY PA
Practice address
5233 King Ave Ste 208
Rosedale, MD 21237-4003
Phone
(410) 918-1525
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Nbial Abu-Ghaida
Title
Practice Manager
Phone
(410) 918-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

5233 King Ave Ste 208
Rosedale, MD 21237-4003

Mailing address

5233 King Ave Ste 208
Rosedale, MD 21237-4003
Phone (141) 091-8152

Other practice location 1

8817 Belair Rd Ste 109
Nottingham, MD 21236-2445
Phone (410) 870-3325

Other practice location 2

602 S Atwood Rd Ste 201
Bel Air, MD 21014-4396
Phone (410) 918-1525

Other practice location 3

2324 W Joppa Rd Ste 100
Lutherville, MD 21093-4617
Phone (410) 583-5444

Other names 1

  • White Square Vascular Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
White Square Vas Surg PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2324 W Joppa Rd
Ste 100
Lutherville, MD 21093
Phone (410) 832-7676

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1750133104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 KING AVE STE 208",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "141-091-8152",
            "fax_number": "410-918-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 KING AVE STE 208",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374003",
            "telephone_number": "410-918-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8817 Belair Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212362445",
            "country_code": "US",
            "telephone_number": "410-870-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 S Atwood Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144396",
            "country_code": "US",
            "telephone_number": "410-918-1525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2324 W Joppa Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210934617",
            "country_code": "US",
            "telephone_number": "410-583-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHITE SQUARE VASCULAR SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "ABU-GHAIDA",
        "authorized_official_first_name": "NBIAL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-918-1525"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Square Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosedale, MD

Sources for this page

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