University of Maryland Surgical Associates, PA
Organization Active NPI Specialist · Baltimore, MD
NPI 1962417634 · NPPES record last updated May 9, 2023
Key facts
- NPI
- 1962417634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- 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
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Christine Lynn Lau, M.D.
- Title
- Department Chairman
- Phone
- (410) 328-6019
Other NPIs with the same Medicare PAC ID 1
Practitioners 242
-
Mary Anderson, CRNP
-
Sarah Rose Andryauskas, ACAGNP-BC
-
Sheelagh Bates, CRNP
-
Leonid Belyayev, M.D.
-
Pamela A Bessmer, CRNP
-
Chandra Shekhar Bhati, M.D.
-
Hugo Bonatti, MD
-
Jeremy Lee Davis, M.D.
-
Sarasijhaa K Desikan, M.D.
-
Eleanor F Dunlap, CRNP
-
Karen Michele Faherty, CRNP
-
Janice Ferlitch, CRNP
-
Suzanna S Fitzpatrick, CRNP
-
Misa Sarmento Francis, PA-C
-
Meghan Elizabeth Garstka, M.D.
-
Nelson H. Goldberg, M.D.
-
Bartley Perry Griffith, M.D.
-
Hannah Han Guan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MD, PA, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040621000583 | MD | Part B Supplier - Clinic/Group Practice | 1658262472 |
Receives reassigned benefits from 213 practitioners Practice locations: Waldorf, MD; Salisbury, MD; Hagerstown, MD; Elkten, MD; Cumberland, MD; Chestertain, MD; Berlin, MD; Baltimore, MD… |
| O20050214000524 | PA | Part B Supplier - Clinic/Group Practice | 1658262472 |
Receives reassigned benefits from 5 practitioners Practice locations: Hanover, PA; York, PA |
| O20150909002640 | DC | Part B Supplier - Clinic/Group Practice | 1658262472 |
Receives reassigned benefits from 67 practitioners Practice locations: Upper Marlboro, MD; Silver Spring, MD; Laurel, MD; Largo, MD; Cheverly, MD; Brandywine, MD |
National Provider Directory
Locations
419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300
405 W Redwood St
Fl 5
Baltimore, MD 21201
Phone (410) 528-5710
11 S Paca St
Fl 3
Baltimore, MD 21201
Phone (410) 328-4080
901 Harry S Truman Dr N
Fl Obs
Largo, MD 20774
11340 Pembrooke Sq
Ste 202
Waldorf, MD 20603
Phone (301) 374-9725
1 Plaza Dr
Toms River, NJ 08757
Phone (201) 655-6161
765 5th Ave
Ste A
Chambersburg, PA 17201
Phone (717) 263-8811
1077D N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
419 W Redwood St
Baltimore, MD 21201-1734
Mailing address
PO Box 64226
Baltimore, MD 21264-4226
Phone (410) 328-5191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 914651200 | Medicaid | MD |
Other providers in Baltimore, MD
- University of Maryland Surgical Associates, PA
- University of Maryland Surgical Associates, PA
- University of Maryland Surgical Associates, PA
- University of Maryland Surgical Associates, PA
- University of Maryland Surgical Associates, PA
- University of Maryland Surgical Associates, PA
- University of Maryland Trauma Orthopaedic
- University of Maryland- Midtown Campus
- University of MD Dialysis
- University of MD Obstetrical and Gynecological Asso. PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.