NPIMap

University of Maryland St. Joseph Medical Group, LLC

Organization Active NPI General Practice Physician · Towson, MD

NPI 1992552715 · NPPES record last updated Apr 30, 2024

Key facts

NPI
1992552715
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
Practice address
7505 Osler Dr Ste 509
Towson, MD 21204-7740
Phone
(410) 427-2227
NPI assigned
Apr 30, 2024
Organization subpart
No

Authorized official

Name
Thomas Smyth
Title
President and Ceo
Phone
(410) 328-1376

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
University of Maryland St Joseph Medical Group (82 organizations share this tax ID)

Locations

7505 Osler Dr
Ste 509
Towson, MD 21204
Phone (410) 821-9533

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

7505 Osler Dr Ste 509
Towson, MD 21204-7740

Mailing address

900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924

Other names

  • UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 30, 2024.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1992552715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELKRIDGE LANDING RD FL 2",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 509",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047740",
            "telephone_number": "410-427-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "410-328-1376"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

All providers in Towson, MD · General Practice Physician in Maryland

Sources for this page

Verify at the official NPI Registry.