NORTHWEST HOSPITAL NPI 1750825352
General Acute Care Hospital in Randallstown, MD
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 Name | NORTHWEST HOSPITAL |
| Provider Location Address | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 |
| Provider Mailing Address | 10349 WETHERBURN RD WOODSTOCK, MD 21163 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 12-15-2016 |
| Last Update Date | 12-15-2016 |
Primary Taxonomy
| Taxonomy Code | 282N00000X |
| Classification | General Acute Care Hospital |
| Type | Hospitals |
| License No. | C06328 |
| License State | MD |
| Taxonomy Description | An 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
Mailing Address
NORTHWEST HOSPITAL
10349 WETHERBURN RD
WOODSTOCK, MD
ZIP 21163
Phone: (443) 878-4197
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 Number | 21D0215764 |
| Facility Type | HOSPITAL |
| Certificate Type | Certificate 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 Registered | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1134125784 | ARUNA ARWINDEKAR M.D. Individual | Specialist | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1578569133 | DEIDRE VIAN GOLDSMITH C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1841296415 | RODNEY LASTER M.D Individual | Anesthesiology | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1629074281 | SANDRA HINES C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1861498446 | THUY TRONG THAN M.D. Individual | Anesthesiology | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1861498438 | ROMAN KATSNELSON M.D. Individual | Anesthesiology | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1093711665 | CHARLES LEVE M.D. Individual | Specialist | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1023014602 | ZOENA YANNAKAKIS M.D. Individual | Specialist | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1821059106 | MS. CORINNE T BOWMAKER PA-C Individual | Physician Assistant (Surgical) | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1528029600 | MS. LISA M MARRONEY PA-C Individual | Physician Assistant (Surgical) | 5401 OLD COURT RD DEPT. OF SURGERY RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1164483335 | MR. ROGER L DESHONG PA Individual | Physician Assistant (Surgical) | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1780645853 | MRS. 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 Medicine | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1356302905 | MR. RICHARD C ROHRS PA-C Individual | Physician Assistant (Medical) | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1053372664 | MS. MINDI N VALUCKAS PA-C Individual | Physician Assistant (Surgical) | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1679534200 | MS. CHRISTY M CRANE PA-C Individual | Physician Assistant (Surgical) | 5401 OLD COURT RD RANDALLSTOWN, MD 21133 (410) 521-2200 |
| 1316909898 | MR. 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 Medicine | 5401 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.