DRS GOUEL AND BLOTNY
NPI 1063603447
Pediatrics in Lutherville, MD

Active since August 09, 2007CLIA 21D0679845 · Waiver
1205 YORK ROAD, SUITE 18, LUTHERVILLE, MD 21093(410) 583-6800(410) 583-5259 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Drs Gouel And Blotny NPPES

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

DRS GOUEL AND BLOTNY (NPI 1063603447), doing business as Drs Gouel And Blotny, P.a., is a healthcare organization registered as a pediatrics in Lutherville, Maryland and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Mary R Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1063603447
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDRS GOUEL AND BLOTNY
Location Address1205 YORK ROAD, SUITE 18Lutherville, MD 21093
Mailing Address1205 York Road, Suite 18Lutherville, MD 21093 · (410) 583-6800 · Fax (410) 583-5259
Fax(410) 583-5259
Organization SubpartNo
Authorized OfficialMary R Wright-siskDirector · (443) 422-9941
Enumeration DateAugust 9, 2007
Last NPPES UpdateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
NPI 1063603447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MD · D0020970
Definition
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.
1205 YORK ROAD, Lutherville, MD 21093

Other Names 1

Former Legal Business NameDrs Gouel And Blotny, P.a.

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 21D0679845

Drs Gouel And Blotny · Lutherville, MD
Active · expires Apr 30, 2028
CLIA Number21D0679845
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorElias G. Gouel MD
Laboratory Phone(410) 583-6800
Laboratory LocationDrs Gouel And Blotny1205 York Rd #18, Lutherville, MD 21093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1205 YORK ROAD, SUITE 33
LUTHERVILLE, MD 21093
Specialist
1205 YORK ROAD, SUITE 12
LUTHERVILLE, MD 21093
Surgery
1205 YORK ROAD, SUITE 22
LUTHERVILLE, MD 21093
Specialist
1205 YORK ROAD, SUITE 18
LUTHERVILLE, MD 21093
Allergy & Immunology
1205 YORK ROAD, SUITE #39
LUTHERVILLE, MD 21093
Allergy & Immunology
1205 YORK ROAD, SUITE 39
LUTHERVILLE, MD 21093
Physician Assistant
1205 YORK ROAD, SUITE 12
LUTHERVILLE, MD 21093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Drs Gouel And Blotny's NPI number?

The NPI number for Drs Gouel And Blotny is 1063603447. It was assigned to this organization in the NPPES registry on August 9, 2007. The provider was formerly known as Drs Gouel And Blotny, P.A..

Where is Drs Gouel And Blotny located?

Drs Gouel And Blotny is located at 1205 York Road Suite 18, Lutherville, MD 21093. The listed phone number is (410) 583-6800.

What is Drs Gouel And Blotny's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Drs Gouel And Blotny hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0679845) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Drs Gouel And Blotny was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.