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ELLICOTT CITY PRIMARY CARE PHYSICIANS PA NPI 1356643035


NPI Information

NPI: 1356643035
Provider Name: ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D2038327

Address:
10910 LITTLE PATUXENT PARKWAY
#200
COLUMBIA, MD
ZIP 21044
Phone: (410) 997-2770
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ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA is a pediatrics in Columbia, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA NPI is 1356643035. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10910 LITTLE PATUXENT PARKWAY
#200
COLUMBIA, MD
ZIP 21044
Phone: (410) 997-2770
Fax: (410) 997-0066

The provider's authorized official is Nadeem Anwar Hashmi .
The authorized official title is Vice President and has the following contact phone number (410) 997-2770.

The CLIA number assigned to this NPI record is 21D2038327 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 9/17/2016.


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
1173000000XLegal MedicineD67217MARYLANDNo
22080N0001XPediatricsNeonatal-Perinatal MedicineD0067020MARYLANDNo
3208000000XPediatricsD0067020MARYLANDYes

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
1415060102MEDICAIDMARYLAND
2419513200MEDICAIDMARYLAND
3771507601166MEDICARE OSCAR/CERTIFICATIONMARYLAND
4127750YC9AMEDICARE PINMARYLAND
5197407MEDICARE PINMARYLAND
6740197MEDICARE UPINMARYLAND
7442008000MEDICAIDMARYLAND

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.