NPIMap

Organization Active NPI

University of Maryland Surgical Associates, PA

Doing business as Office Shore Health Pavillion-Urology

  • Urology Physician
  • Queenstown, MD
National Provider Identifier
1912834151
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Doing business as
Office Shore Health Pavillion-Urology
Practice address
125 Shoreway Dr
Queenstown, MD 21658-1680
Phone
(410) 328-5544
Fax
(410) 706-6976
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Vanenia Crowder
Title
Office Manager
Phone
(667) 214-1734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

125 Shoreway Dr
Queenstown, MD 21658-1680

Mailing address

PO Box 64226
Baltimore, MD 21264-4226
Phone (667) 214-1734

Other names 1

  • OFFICE SHORE HEALTH PAVILLION-UROLOGY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Surgical Associates PA357 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1912834151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64226",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644226",
            "telephone_number": "667-214-1734",
            "fax_number": "410-706-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SHOREWAY DR",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581680",
            "telephone_number": "410-328-5544",
            "fax_number": "410-706-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "VANENIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "667-214-1734"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OFFICE SHORE HEALTH PAVILLION-UROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queenstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.