BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC (NPI# 1366759938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366759938 |
| Entity Type | Organization |
| Organization Name | BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC |
| Practice Address |
4785 Dorsey Hall Dr Suite 111 Ellicott City MD 21042-7728 |
| Practice Telephone | 8779173223 |
| Practice Fax Number | 4432190758 |
| Mailing Telephone | 8779173223 |
| Mailing Fax Number | 4432190758 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2012-01-29 |
| Authorized Official Name | DR. THOMAS T. LE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8779173223 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
D0061873 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
4785 DORSEY HALL DR SUITE 111 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-7728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457532798 | Terri Lynn Hill | Plastic Surgery | 4785 Dorsey Hall Dr, Suite 111, Ellicott City, MD 21042-7728 | 2007-11-15 |
| 1275902801 | Krystin Wessner | Psychologist | 4785 Dorsey Hall Dr, Suite 109, Ellicott City, MD 21042-7728 | 2015-09-24 |
| 1003131897 | Robert Daniel Robinson | Counselor | 4785 Dorsey Hall Dr, Ellicott City, MD 21042-7728 | 2010-04-05 |
| 1407183411 | World Class Chiropractic PC | Chiropractor | 4785 Dorsey Hall Dr, Suite 124, Ellicott City, MD 21042-7728 | 2009-11-11 |
| 1093979544 | Caitlin Brown Dunning | Psychologist | 4785 Dorsey Hall Dr, Suite 125, Ellicott City, MD 21042-7728 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182721 | Capital Facial Plastic Surgery LLC | Otolaryngology | 2 Wisconsin Cir Ste 820, Chevy Chase, MD 20815-7033 | 2018-08-03 |
| 1811254915 | Adam Singleton | Otolaryngology | 2 Wisconsin Cir Ste 850, Chevy Chase, MD 20815-7034 | 2012-04-13 |
| 1831259571 | Jennifer P Porter | Otolaryngology | 7201 Wisconsin Ave, Suite 515, Bethesda, MD 20814-4810 | 2006-12-11 |
| 1467470567 | Ahsan S Khan | Otolaryngology | 1710 Willow Springs Dr, Sykesville, MD 21784-5600 | 2006-07-17 |
| 1518312990 | Medstar Health At Brandywine | Otolaryngology | 13950 Brandywine Rd, Suite 150, Brandywine, MD 20613-5815 | 2016-05-04 |
| 1033588900 | Babarsultan Md LLC | Otolaryngology | 100 West Rd, Suite 111, Towson, MD 21204-2331 | 2015-09-21 |
| 1639582745 | Cyrus Cameron Rabbani | Otolaryngology | 601 N Caroline St Fl 6, Baltimore, MD 21287-0006 | 2014-06-05 |
| 1306018866 | Sandel Center for Facial Plastic Surgery LLC | Otolaryngology | 127 Lubrano Drive, Suite 102, Annapolis, MD 21401-7559 | 2008-03-25 |
| 1164624763 | Henry Daniel Sandel Iv | Otolaryngology | 127 Lubrano Dr, Suite 102, Annapolis, MD 21401-7114 | 2007-06-05 |
| 1720203474 | Rodrigo Martinez | Otolaryngology | 7231 Hanover Pkwy, Suite B, Greenbelt, MD 20770-2027 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on BALTIMORE-WASHINGTON FACIAL PLASTIC SURGERY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.