NPIMap

Organization Active NPI

Sinai Hospital of Baltimore, Inc

  • Family Medicine Physician
  • Eldersburg, MD
National Provider Identifier
1750696985
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30-062 Issued in MD
Legal business name
SINAI HOSPITAL OF BALTIMORE, INC
Practice address
6190 Georgetown Blvd
Suite 103
Eldersburg, MD 21784-6460
Phone
(410) 549-2000
Fax
(410) 549-2103
NPI assigned
Aug 12, 2010
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SINAI HOSPITAL OF BALTIMORE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Charles B Efird
Title
Director
Phone
(410) 601-7019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 30-062 MD Primary

Addresses

Primary practice location

6190 Georgetown Blvd
Suite 103
Eldersburg, MD 21784-6460

Mailing address

1380 Progress Way
Suite 112
Eldersburg, MD 21784-6464
Phone (410) 549-2000

Other identifiers 1

IdentifierTypeStateIssuer
440067400MedicaidMD

Other names 1

  • Carrolltowne Medicial Center Other name

National Provider Directory

National Provider Directory
Part of
Sinai Ophthalmolgy Asso

Locations

6190 Georgetown Blvd
Ste 103
Sykesville, MD 21784
Phone (410) 549-2000

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1750696985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 112",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-549-2000",
            "fax_number": "410-549-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 GEORGETOWN BLVD",
            "address_2": "SUITE 103",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846460",
            "telephone_number": "410-549-2000",
            "fax_number": "410-549-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINAI HOSPITAL OF BALTIMORE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINAI HOSPITAL OF BALTIMORE, INC",
        "enumeration_date": "2010-08-12",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "EFIRD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-601-7019"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "30-062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440067400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrolltowne Medicial Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.