Eugenia B. Utzurrum, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

D0016256 Issued in MD

Practice address

57 W Timonium Rd
Suite 102
Lutherville, MD 21093-3125

Phone

(410) 252-7500

Fax

(410) 252-3636

NPI assigned

Jan 31, 2006

Last updated

Sep 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eutzurrum136827@direct.umm.edu

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

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1881665438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 YORK RD, STE 103",
            "address_2": "YORK RIDGE CENTER NORTH",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "21030",
            "telephone_number": "410-252-7500",
            "fax_number": "410-252-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD",
            "address_2": "SUITE 102",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210933125",
            "telephone_number": "410-252-7500",
            "fax_number": "410-252-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTZURRUM",
        "first_name": "EUGENIA",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0016256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419501900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Maryland Surgical Associates, PA (Office Pediatrics at Lutherville-Vascular Surgery)
• University of Maryland Surgical Associates, PA (Office Pediatrics at Lutherville-Thoracic Surgery)
• University of Maryland Surgical Associates, PA (Office Pediatrics at Lutherville)
• University of Maryland Surgical Associates, PA (Office Pediatrics at Lutherville-Surgical Oncology)
• Madeline Urban
• Craig Vander Kolk, M.D.
• Stuart Russell Varon, M.D.
• Vascular Specialty Services, LLC
• Susan Marie Vedral, LCSW-C
• Vein and Vascular Institute of Central Maryland

• Pediatric Adolescent Medicine Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Pediatric Adolescent Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.