NPIMap

Organization Active NPI

University of Maryland Surgical Associates, PA

  • Pediatric Surgery Physician
  • Waldorf, MD
National Provider Identifier
1992669170
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Practice address
3450 Old Washington Rd Ste 202
Waldorf, MD 20602-3250
Phone
(667) 214-1718
Fax
(410) 328-5147
NPI assigned
Dec 12, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Vanenia Crowder
Title
Office Manager
Phone
(667) 214-1734

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Surgical Associates PA357 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0120X Primary

Addresses

NPPES NPI Registry

Primary practice location

3450 Old Washington Rd Ste 202
Waldorf, MD 20602-3250

Mailing address

29 S Greene St Ste 502
Baltimore, MD 21201-1504
Phone (667) 214-1734

Other names 1

NPPES NPI Registry
  • Office Charles Regional At Pembrooke-Pediatric Surgery Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2025.

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1992669170",
    "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": "3450 OLD WASHINGTON RD STE 202",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023250",
            "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": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "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": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Office Charles Regional At Pembrooke-Pediatric Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.