Organization Active NPI

Maryland Surgical Assistants

  • Surgical Physician Assistant
  • Bel Air, MD
National Provider Identifier
1891025631
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C0002581 Issued in MD
Legal business name
MARYLAND SURGICAL ASSISTANTS
Practice address
615 W Macphail Rd
Suite 210
Bel Air, MD 21014-4309
Phone
(443) 643-2078
Fax
(443) 643-2088
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Spiro B Antoniades, M.D.NPI 1265535512
Title
President
Phone
(443) 643-2078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X C0002581 MD Primary

Addresses

Primary practice location

615 W Macphail Rd
Suite 210
Bel Air, MD 21014-4309

Mailing address

104 Saint Dunstans Rd
Baltimore, MD 21212-3310
Phone (443) 643-2078

National Provider Directory

National Provider Directory

Locations

400 Arsenal St
Watertown, MA 02472

615 W Macphail Rd
Ste 210
Bel Air, MD 21014
Phone (443) 409-0051

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1891025631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SAINT DUNSTANS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123310",
            "telephone_number": "443-643-2078",
            "fax_number": "443-643-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "SUITE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "443-643-2078",
            "fax_number": "443-643-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "ANTONIADES",
        "authorized_official_first_name": "SPIRO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-643-2078",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0002581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.