Organization Active NPI

Greater Baltimore Colorectal Specialists,LLC

  • Colon & Rectal Surgery Physician
  • Towson, MD
National Provider Identifier
1932425634
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
GREATER BALTIMORE COLORECTAL SPECIALISTS,LLC
Practice address
6569 N Charles St
Suite 502
Towson, MD 21204-6831
Phone
(410) 296-1661
Fax
(410) 296-1739
NPI assigned
Apr 20, 2010
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Francesco Grasso, M.D.NPI 1316930712
Title
Surgeon
Phone
(410) 296-1661

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
Colon & Rectal Surgery Physician 208C00000X NU Primary

Addresses

Primary practice location

6569 N Charles St
Suite 502
Towson, MD 21204-6831

Mailing address

6569 N Charles Street
Suite 502
Towson, MD 21204-6831
Phone (410) 296-1661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207001105 MD Part B Supplier - Clinic/Group Practice 5890982508 Receives reassigned benefits from 5 practitioners
Practice locations: Bel Air, MD; Towson, MD

National Provider Directory

National Provider Directory

Locations

2 North Ave
Ste 101
Bel Air, MD 21014
Phone (410) 296-1661

6569 N Charles St
Ste 502
Towson, MD 21204
Phone (410) 296-1661

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1932425634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N CHARLES STREET",
            "address_2": "SUITE 502",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046831",
            "telephone_number": "410-296-1661",
            "fax_number": "410-296-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 N CHARLES ST",
            "address_2": "SUITE 502",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046831",
            "telephone_number": "410-296-1661",
            "fax_number": "410-296-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BALTIMORE COLORECTAL SPECIALISTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "GRASSO",
        "authorized_official_first_name": "FRANCESCO",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "410-296-1661",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.