THE ADULT & PEDIATRIC UROLOGY SURGERY CENTER LLC NPI 1396897351

NPI Information

NPI: 1396897351
Provider Name: THE ADULT & PEDIATRIC UROLOGY SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3455 WILKENS AVE
SUITE 100
BALTIMORE, MD
ZIP 21229
Phone: (410) 646-0330
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THE ADULT & PEDIATRIC UROLOGY SURGERY CENTER LLC is an ambulatory surgical clinic center in Baltimore, MD. THE ADULT & PEDIATRIC UROLOGY SURGERY CENTER LLC NPI is 1396897351. The provider is registered as an organization entity type.

The provider's business location address is:

3455 WILKENS AVE
SUITE 100
BALTIMORE, MD
ZIP 21229-213
Phone: (410) 646-0330
Fax: (410) 644-6182

The provider's authorized official is Bridget Mastrounni .
The authorized official title is Administrator and has the following contact phone number (410) 646-0331.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 1/7/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	A1408	MARYLAND	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2139146	OTHER	MARYLAND	MAMSI PROVIDER NUMBER
2	RT9	OTHER	MARYLAND	BCBS FEDERAL PROV. NO.
3	RT9	OTHER	MARYLAND	BLUE CHOICE
4	408678300	MEDICAID	MARYLAND
5	Y293120001	MEDICARE UPIN	MARYLAND
6	P00245956	MEDICARE PIN	MARYLAND
7	64491801	OTHER	MARYLAND	CAREFIRST OF MD
8	178Z	MEDICARE PIN	MARYLAND

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

NPI Synchronization or Removal

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