Active NPI
New Maryland Kidney Stone Management,LLC
- Clinic/Center
- Baltimore, MD
National Provider Identifier
1922137835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A1158
- Legal business name
- NEW MARYLAND KIDNEY STONE MANAGEMENT,LLC
- Practice address
- 6115 Falls Road
Baltimore, MD 21209 - Phone
- (888) 799-2622
- Fax
- (410) 377-4410
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ric Hughes
- Title
- Chief Financial Officer
- Phone
- (614) 298-8150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A1158 | Primary |
Addresses
Primary practice location
6115 Falls Road
Baltimore, MD 21209
Mailing address
100 W Third Ave
Ste 150
Columbus, OH 43201
Phone (614) 297-1158
National Provider Directory
National Provider DirectoryLocations
6115 Falls Rd
Ste Ll
Baltimore, MD 21209
Phone (410) 377-2622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1922137835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W THIRD AVE",
"address_2": "STE 150",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43201",
"telephone_number": "614-297-1158",
"fax_number": "614-299-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 FALLS ROAD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "888-799-2622",
"fax_number": "410-377-4410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MARYLAND KIDNEY STONE MANAGEMENT,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "RIC",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "614-298-8150",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": "A1158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.