NPIMap

Organization Active NPI

Fertility Center of Maryland

  • Reproductive Endocrinology/Infertility Registered Nurse
  • Towson, MD
National Provider Identifier
1851445563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology/Infertility Registered NurseTaxonomy code 163WR1000X
License
D0035237 Issued in MD
Legal business name
FERTILITY CENTER OF MARYLAND
Practice address
110 West Road
Suite 102
Towson, MD 21204
Phone
(410) 296-6403
Fax
(410) 296-6405
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Santiago Luis Padilia, MD
Title
President
Phone
(410) 296-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology/Infertility Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WR1000X D0035237 MD Primary

Addresses

Primary practice location

110 West Road
Suite 102
Towson, MD 21204

Mailing address

110 West Road
Suite 102
Towson, MD 21204
Phone (410) 296-6403

Other names 1

  • Ambulatory Surgical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Ambulatory Surgical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851445563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEST ROAD",
            "address_2": "SUITE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-296-6403",
            "fax_number": "410-296-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST ROAD",
            "address_2": "SUITE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-296-6403",
            "fax_number": "410-296-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY CENTER OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILIA",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-296-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WR1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Reproductive Endocrinology/Infertility",
            "state": "MD",
            "license": "D0035237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Surgical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.