SUPREME SURGICAL ASSOCIATES INC
NPI 1316226020
Specialist in Baltimore, MD

Active since August 11, 2011
4713 LEEDS AVE, BALTIMORE, MD 21227(410) 247-4740(410) 247-2346 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supreme Surgical Associates Inc NPPES

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

SUPREME SURGICAL ASSOCIATES INC (NPI 1316226020) is a healthcare organization registered as a specialist in Baltimore, Maryland and active in the NPI registry since August 2011. The organization lists Efem E Imoke, Owner, as its authorized official.

NPPES Registry Identity

NPI1316226020
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUPREME SURGICAL ASSOCIATES INC
Location Address4713 LEEDS AVEBaltimore, MD 21227-1402
Mailing Address4713 Leeds AveBaltimore, MD 21227-1402 · (410) 247-4740 · Fax (410) 247-2346
Fax(410) 247-2346
Organization SubpartNo
Authorized OfficialEfem E ImokeOwner · (410) 247-4740
Enumeration DateAugust 11, 2011
NPI 1316226020 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.
4713 LEEDS AVE, Baltimore, MD 21227

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

Other Providers at the Same Location NPPES 3

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

Specialist
4713 LEEDS AVE
BALTIMORE, MD 21227
Specialist
4713 LEEDS AVE
BALTIMORE, MD 21227
Clinic/Center
4713 LEEDS AVE
BALTIMORE, MD 21227

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 Supreme Surgical Associates Inc's NPI number?

The NPI number for Supreme Surgical Associates Inc is 1316226020. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Supreme Surgical Associates Inc located?

Supreme Surgical Associates Inc is located at 4713 Leeds Ave, Baltimore, MD 21227. The listed phone number is (410) 247-4740.

What is Supreme Surgical Associates Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Supreme Surgical Associates Inc was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.