DRS Biondo & Sim PA
Organization Active NPI Legal Medicine · Havre de Grace, MD
NPI 1841479938 · NPPES record last updated Mar 13, 2009
Key facts
- NPI
- 1841479938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Legal Medicine 173000000X
- Legal business name
- DRS BIONDO & SIM PA
- Practice address
- 251 Lewis Lane
Suite 201
Havre de Grace, MD 21078-3753 - Phone
- (410) 939-4477
- Fax
- (410) 939-1153
- NPI assigned
- Oct 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sandra M Gallion
- Title
- Office Manager
- Phone
- (410) 939-4477
Practitioners 5
-
Thomas A Biondo, M.D.
-
Bernadette Diego Hipkins, CRNP
-
Hi Sup Sim, M.D.
-
Julianna Marie Vaeth, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040914000135 | MD | Part B Supplier - Clinic/Group Practice | 4082681689 |
Receives reassigned benefits from 5 practitioners Practice locations: Havre de Grace, MD |
National Provider Directory
Locations
319 S Union Ave
Hvre de Grace, MD 21078
Phone (410) 939-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine |
173000000X | Yes |
Addresses
Primary practice location
251 Lewis Lane
Suite 201
Havre de Grace, MD 21078-3753
Mailing address
251 Lewis LN
Suite 201
Havre de Grace, MD 21078-3751
Phone (410) 939-4477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000424675 | Other | PA | BS OF PA |
| 145388000 | Other | MD | WORKMENS COMPENSATION DEPARTMENT OF LABOR |
| 148241600 | Medicaid | MD | |
| 408544200 | Medicaid | MD | |
| 348561700 | Medicaid | MD | |
| W724001 | Other | MD | DELMARVA HEALTH PLAN |
| K781UN | Other | MD | BLUE SHIELD OF MARYLAND |
| 982961000 | Medicaid | MD | |
| W724001 | Other | DC | BLUE SHIELD DC |
Other names
- UNION MEDICAL CLINIC PA
Other providers in Havre de Grace, MD
- Diy Wellness, Discovering the Individual in You, LLC
- Rebecca Garin Dizon
- Scott D Doherty
- Daion Donaldson
- Dresnick Sterling Emergency Physicians of Maryland PA
- DRS Campanella & Olivacz PA
- Julie L. Ducharme
- Jeanne Marie Dunworth
- Jillian Ebner
- Bethany Edwards
All providers in Havre de Grace, MD · Legal Medicine in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.