NORTHWEST HOSPITAL NPI 1750825352

General Acute Care Hospital in Randallstown, MD

NPI 1750825352 Organization General Acute Care Hospital CLIA Number 21D0215764 CLIA Certificate of Accreditation

About NORTHWEST HOSPITAL

Northwest Hospital is a provider established in Randallstown, Maryland specializing in general acute care hospital. The NPI number of Northwest Hospital is 1750825352 and was assigned on December 2016. The practitioner's primary taxonomy code is 282N00000X with license number C06328 (MD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Ronaldo Mendoza Pa-c (Clinical Manager/pa)

The CLIA number of Northwest Hospital is 21D0215764 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Northwest Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI

1750825352

Provider NameNORTHWEST HOSPITAL
Provider Location Address5401 OLD COURT RD RANDALLSTOWN, MD 21133
Provider Mailing Address10349 WETHERBURN RD WOODSTOCK, MD 21163
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-15-2016
Last Update Date12-15-2016


Primary Taxonomy

Taxonomy Code282N00000X
ClassificationGeneral Acute Care Hospital
TypeHospitals
License No.C06328
License StateMD
Taxonomy DescriptionAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Business Address

NORTHWEST HOSPITAL
5401 OLD COURT RD
RANDALLSTOWN, MD
ZIP 21133
Phone: (410) 521-2200

Get Directions


Mailing Address

NORTHWEST HOSPITAL
10349 WETHERBURN RD
WOODSTOCK, MD
ZIP 21163
Phone: (443) 878-4197



Authorized Official

Authorized Official NameMR. RONALDO MENDOZA PA-C
Authorized Official TitleCLINICAL MANAGER/PA
Authorized Official Phone(410) 521-2200

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 the NPI number 1750825352 is:

CLIA Number21D0215764
Facility TypeHOSPITAL
Certificate TypeCertificate of Accreditation

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427054089 MICHAEL HOLLOWAY CRNA
Individual
Nurse Anesthetist, Certified Registered5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1134125784 ARUNA ARWINDEKAR M.D.
Individual
Specialist5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1578569133 DEIDRE VIAN GOLDSMITH C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1841296415 RODNEY LASTER M.D
Individual
Anesthesiology5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1629074281 SANDRA HINES C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1861498446 THUY TRONG THAN M.D.
Individual
Anesthesiology5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1861498438 ROMAN KATSNELSON M.D.
Individual
Anesthesiology5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1093711665 CHARLES LEVE M.D.
Individual
Specialist5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1023014602 ZOENA YANNAKAKIS M.D.
Individual
Specialist5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1821059106MS. CORINNE T BOWMAKER PA-C
Individual
Physician Assistant (Surgical)5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1528029600MS. LISA M MARRONEY PA-C
Individual
Physician Assistant (Surgical)5401 OLD COURT RD DEPT. OF SURGERY
RANDALLSTOWN, MD 21133
(410) 521-2200
1164483335MR. ROGER L DESHONG PA
Individual
Physician Assistant (Surgical)5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1780645853MRS. NASEEM B MAJID PA-C
Individual
Physician Assistant (Medical)5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1285695098 JENNIFER L BARLOW PA-C
Individual
Physician Assistant (Surgical)5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1841251576 RAMASWAMY I RANGARAJAN M.D.
Individual
Internal Medicine5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1356302905MR. RICHARD C ROHRS PA-C
Individual
Physician Assistant (Medical)5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1053372664MS. MINDI N VALUCKAS PA-C
Individual
Physician Assistant (Surgical)5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1679534200MS. CHRISTY M CRANE PA-C
Individual
Physician Assistant (Surgical)5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1316909898MR. RONALDO T MENDOZA PA-C
Individual
Physician Assistant (Surgical)5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200
1992767453 JOGINDER PAUL MEHTA M.D.
Individual
Internal Medicine5401 OLD COURT RD
RANDALLSTOWN, MD 21133
(410) 521-2200

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.