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
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

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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2036766
Facility Type
Physician Office
Certificate Effective Date
February 13, 2024
Certificate Expiration Date
February 12, 2026
Laboratory Director
DR. HARRY JOHNSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Univ Of Maryland Otorhinolaryngology Head & Neck Surgery Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


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

Ophthalmology
510 UPPER CHESAPEAKE DR STE 509
BEL AIR, MD 21014

Frequently Asked Questions

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

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

Specialist with taxonomy code 174400000X.