1. Home
  2. Directory
  3. Maryland
  4. Ellicott City
  5. Surgery
  6. NPI Profile

VASCULAR SPECIALTY SERVICES, LLC
NPI 1902779994
Surgery - Vascular Surgery in Ellicott City, MD

Active since September 25, 2025
3290 N RIDGE RD STE 220, ELLICOTT CITY, MD 21043(410) 332-9404(410) 347-5599 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vascular Specialty Services, Llc NPPES

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

VASCULAR SPECIALTY SERVICES, LLC (NPI 1902779994) is a healthcare organization registered as a vascular surgery in Ellicott City, Maryland and active in the NPI registry since September 2025. The organization lists Justin Deibel, Executive Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1902779994
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVASCULAR SPECIALTY SERVICES, LLC
Location Address3290 N RIDGE RD STE 220Ellicott City, MD 21043-3657
Mailing Address301 St Paul Place, Medical Staff OfficeBaltimore, MD 21202-2102 · (410) 659-2963 · Fax (410) 332-9789
Phone(410) 332-9404
Fax(410) 347-5599
Organization SubpartNo
Authorized OfficialJustin DeibelExecutive Vice President/cfo · (410) 659-2905
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1902779994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
3290 N RIDGE RD STE 220, Ellicott City, MD 21043
Open in Google Maps ↗

Other Names 1

Other NameVascular Ellicott City

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. SHANNAROSE GUMA M.D.
Internal Medicine
3290 N RIDGE RD STE 220
ELLICOTT CITY, MD 21043
Howard County (410) 801-2273
ST PAUL PLACE SPECIALISTS, INC.
Orthopaedic Surgery (Foot and Ankle Surgery)
3290 N RIDGE RD STE 220
ELLICOTT CITY, MD 21043
Howard County (410) 332-9000
MARYLAND FAMILY CARE, INC
Internal Medicine
3290 N RIDGE RD STE 220
ELLICOTT CITY, MD 21043
Howard County (410) 801-2273
NEUROSURGICAL SPECIALTY SERVICES, LLC
Neurological Surgery
3290 N RIDGE RD STE 220
ELLICOTT CITY, MD 21043
Howard County (410) 332-9717
MARYLAND SPINE CENTER CHARTERED
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3290 N RIDGE RD STE 220
ELLICOTT CITY, MD 21043
Howard County (410) 539-3434

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 Vascular Specialty Services, LLC's NPI number?

The NPI number for Vascular Specialty Services, LLC is 1902779994. It was assigned to this organization in the NPPES registry on September 25, 2025. The provider is also known as Vascular Ellicott City.

Where is Vascular Specialty Services, LLC located?

Vascular Specialty Services, LLC is located at 3290 N Ridge Rd Ste 220, Ellicott City, MD 21043. The listed phone number is (410) 332-9404.

What is Vascular Specialty Services, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Vascular Specialty Services, LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.