ELLICOTT CITY PEDIATRIC ASSOC NPI 1831152727

NPI Information

  • NPI: 1831152727
  • Provider Name: ELLICOTT CITY PEDIATRIC ASSOC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Former Legal Business Name: DR. LEFFLER CAHILL & BERGER PA.
  • CLIA Number: 21D0214456
  • Address: 9011 CHEVROLET DRIVE
    SUITE 1-6
    ELLICOTT CITY, MD
    ZIP 21042
  • Phone: (410) 465-7550

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NPI Details

ELLICOTT CITY PEDIATRIC ASSOC is a pediatrics in Ellicott City, 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 PEDIATRIC ASSOC NPI is 1831152727. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dr. Leffler Cahill & Berger Pa..

The provider's business location address is:

9011 CHEVROLET DRIVE
SUITE 1-6
ELLICOTT CITY, MD
ZIP 21042-024
Phone: (410) 465-7550
Fax: (410) 465-7085

The provider's authorized official is Oliver Custodio Galita .
The authorized official title is Ownder and has the following contact phone number (410) 465-7550.

The CLIA number assigned to this NPI record is 21D0214456 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 10/27/2022.

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
1208000000XPediatricsYes

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
1967551500MEDICAIDMARYLAND

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: 11/21/2025

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