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CHESAPEAKE BAY SURGICAL ASSISTANTS NPI 1528516879


NPI Information

NPI: 1528516879
Provider Name: CHESAPEAKE BAY SURGICAL ASSISTANTS
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
6814 CHAND CT
BALTIMORE, MD
ZIP 21237
Phone: (410) 868-1629
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CHESAPEAKE BAY SURGICAL ASSISTANTS is a surgical physician assistant in Baltimore, MD. CHESAPEAKE BAY SURGICAL ASSISTANTS NPI is 1528516879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6814 CHAND CT
BALTIMORE, MD
ZIP 21237-869
Phone: (410) 868-1629

The provider's authorized official is Louis Kalisch .
The authorized official title is Surgical Assistant and has the following contact phone number (410) 868-1629.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 9/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
116-375MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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