University of Maryland Surgical Associates, PA
Organization Active NPI Vascular Surgery Physician · Baltimore, MD
NPI 1962365452 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1962365452
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- Legal business name
- UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
- Practice address
- 419 W Redwood St
Baltimore, MD 21201-1734 - Phone
- (667) 214-1718
- Fax
- (410) 328-5147
- NPI assigned
- Dec 3, 2025
- Organization subpart
- No
Authorized official
- Name
- Vanenia Crowder
- Title
- Office Manager
- Phone
- (667) 214-1734
Corporate family (same tax ID) 24
Practitioners 1
-
Carmel A. McComiskey, C.R.N.P.
National Provider Directory
- Tax ID family
- University of Maryland Surgical Associates PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | Yes |
Addresses
Primary practice location
419 W Redwood St
Baltimore, MD 21201-1734
Mailing address
29 S Greene St Ste 502
Baltimore, MD 21201-1504
Phone (667) 214-1734
Other names
- ASC-UMH UROLOGICAL SURGERY CENTER-VASCULAR SURGERY
NPI Registry JSON
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1962365452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 S GREENE ST STE 502",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011504",
"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": "419 W REDWOOD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011734",
"telephone_number": "667-214-1718",
"fax_number": "410-328-5147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"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": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ASC-UMH UROLOGICAL SURGERY CENTER-VASCULAR SURGERY",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.