Anne Arundel Urology, Pa

LBN: Anne Arundel Urology, Pa
Anne Arundel Urology, Pa is an health care organization with primary practice located at 600 Ridgely Ave Ste 222&223 , Annapolis MD 21401-1001. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Suppliers / Non-Pharmacy Dispensing Site. Other Service Providers / Specialist is the primary health care specialty. Anne Arundel Urology, Pa can be contacted via phone (410) 266-8049, or through Holton, Mara via phone (410) 504-4004.

Contact Information

Primary practice address
600 Ridgely Ave Ste 222&223 Annapolis MD 21401-1001
Fax: (410) 266-8054
Website:
Authorized official contact:
Name: Holton, Mara Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1164426045
LBN Legal business name Anne Arundel Urology, Pa
DBA Doing business as
Authorized official Holton, Mara Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 5th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164426045 NPPES
Maryland MEDICAID 911641901

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