Individual provider Active NPI

James Anthony Piazza, PA-C

  • Physician Assistant
  • Hanover, MD
National Provider Identifier
1871748145
Registry record updated Nov 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56977 Issued in MD
Practice address
7250 Parkway Dr
Suite 400
Hanover, MD 21076-1388
Phone
(410) 567-5520
Fax
(410) 712-4760
NPI assigned
Nov 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA56977 MD Primary

Addresses

Primary practice location

7250 Parkway Dr
Suite 400
Hanover, MD 21076-1388

Mailing address

7250 Parkway Dr
Suite 400
Hanover, MD 21076-1388
Phone (410) 567-5520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000265 MD Practitioner - Physician Assistant 2860479169 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA56977MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Paul Place Specialists, Inc. CurrentSince Oct 8, 2022 Accepting new patients
St Paul Place Specialists Inc CurrentSince Oct 8, 2022 Accepting new patients
St Agnes Healthcare Inc Physician Assistant CurrentSince Dec 18, 2016 Accepting new patients
St Agnes Healthcare Inc CurrentSince Dec 18, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maryland Institute College of Art Past Accepting new patients
The Good Samaritan Hospital of Maryland Inc Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228003200000",
    "number": "1871748145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DR",
            "address_2": "SUITE 400",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761388",
            "telephone_number": "410-567-5520",
            "fax_number": "410-712-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DR",
            "address_2": "SUITE 400",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761388",
            "telephone_number": "410-567-5520",
            "fax_number": "410-712-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-30",
        "last_updated": "2008-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "PA56977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.