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UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
NPI 1013724400
Specialist in Bel Air, MD

Active since December 18, 2024
510 UPPER CHESAPEAKE DR STE 509, BEL AIR, MD 21014(410) 328-6897(410) 328-2109 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Univ Of Maryland Otorhinolaryngology Head & Neck Surgery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA (NPI 1013724400) is a healthcare organization registered as a specialist in Bel Air, Maryland and active in the NPI registry since December 2024. The organization lists Shavonda L Williams, Corporate Director, as its authorized official.

NPPES Registry Identity

NPI1013724400
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
Location Address510 UPPER CHESAPEAKE DR STE 509Bel Air, MD 21014-4367
Mailing AddressPo Box 64693Baltimore, MD 21264-4693
Phone(410) 328-6897
Fax(410) 328-2109
Organization SubpartNo
Authorized OfficialShavonda L WilliamsCorporate Director · (667) 214-2507
Enumeration DateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1013724400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

510 UPPER CHESAPEAKE DR STE 509, Bel Air, MD 21014
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2036766

Univ Of MD Obstetrical And Gynecological Assoc PA · Bel Air, MD
Expired · Feb 12, 2026
CLIA Number21D2036766
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2024
Certificate Expiration DateFebruary 12, 2026
Laboratory DirectorDr. Harry Johnson
Laboratory Phone(410) 879-7730
Laboratory LocationUniv Of MD Obstetrical And Gynecological Assoc PA510 Upper Ches Dr, Physicians Pav II, Suite 509, Bel Air, MD 21014
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

UNIVERSITY OF MARYLAND EYE ASSOCIATES, P.A.
Ophthalmology
510 UPPER CHESAPEAKE DR STE 509
BEL AIR, MD 21014
Harford County (410) 328-5929

Frequently Asked Questions

What is UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA's NPI number?

The NPI number assigned to this healthcare provider is 1013724400, enumerated as an "organization" on December 18, 2024.

Where is the provider located?

The provider is located at 510 UPPER CHESAPEAKE DR STE 509 BEL AIR, MD 21014 and the phone number is (410) 328-6897.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.