Provider Type Icon

ELMAN RETINA GROUP PA NPI 1225183734


NPI Information

NPI: 1225183734
Provider Name: ELMAN RETINA GROUP PA
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

CLIA Number: 21D2115765

Address:
9114 PHILADELPHIA RD
SUITE 310
BALTIMORE, MD
ZIP 21237
Phone: (410) 686-3000
Get Directions

ELMAN RETINA GROUP PA is a retina specialist ophthalmology in Baltimore, MD. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. ELMAN RETINA GROUP PA NPI is 1225183734. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9114 PHILADELPHIA RD
SUITE 310
BALTIMORE, MD
ZIP 21237-317
Phone: (410) 686-3000
Fax: (410) 686-3690

The provider's authorized official is Michael J Elman .
The authorized official title is President and has the following contact phone number (410) 686-3000.

The CLIA number assigned to this NPI record is 21D2115765 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 2/6/2018.


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
1207WX0107XOphthalmologyRetina SpecialistD0032515MARYLANDYes

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
1015506300MEDICAIDMARYLAND

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.