P. L. Sitaras, M.D., P.a.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

D0014121 Issued in MD

Legal business name

P. L. SITARAS, M.D., P.A.

Practice address

1814 Bel Air Rd
Suite 100
Fallston, MD 21047-2734

Phone

(410) 879-3007

Fax

(410) 877-7140

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Peter L. Sitaras, M.D.

Title

M.D.

Phone

(410) 879-3007

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1922291533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 PHILADELPHIA RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621717",
            "telephone_number": "410-335-0008",
            "fax_number": "410-335-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 BEL AIR RD",
            "address_2": "SUITE 100",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472734",
            "telephone_number": "410-879-3007",
            "fax_number": "410-877-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. L. SITARAS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "SITARAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "410-879-3007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0014121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR (DOL)",
            "identifier": "145583300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "204653",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "7904PL",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "W167 0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wendy Peckinpaugh, RN
• Karen Kristine Poehlman, LCPC
• Anne Marie Porretti, LCPC

• Neurological Surgery Physician in Fallston, MD
• Providers in Fallston, MD by specialty
• Neurological Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.