1326171760 NPI number — AMY E SARINA MD

Table of content: AMY E SARINA MD (NPI 1326171760)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326171760 NPI number — AMY E SARINA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARINA
Provider First Name:
AMY
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326171760
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2002 MEDICAL PKWY
Provider Second Line Business Mailing Address:
SUITE 235
Provider Business Mailing Address City Name:
ANNAPOLIS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21401-3046
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-266-2770
Provider Business Mailing Address Fax Number:
410-841-6251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2002 MEDICAL PKWY
Provider Second Line Business Practice Location Address:
SUITE 235
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-3046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-266-2770
Provider Business Practice Location Address Fax Number:
410-841-6251
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  0101244987 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: D0066121 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 182936ZDYC . This is a "RR MEDICARE ARA PTAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: S645AN . This is a "AAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: P00897470 . This is a "RR MEDICARE SHIPLEYS PROVIDER PTAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 182936ZD7B . This is a "MEDICARE PTAN - AAD S645" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: P00897478 . This is a "RR MEDICARE AAD PROVIDER PTAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 419952900 . This is a "MEDICAID - AAD SHIPLEYS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 9669378 . This is a "AAD AETNA (SHIPLEYS)" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: CN6292 . This is a "RR MEDICARE SHIPLEYS GROUP PTAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: KC46SH . This is a "AAD MEDICARE SHIPLEYS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1073 . This is a "AAD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 3811 . This is a "AAD SHIPLEYS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 419952900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: CA1932 . This is a "RR MEDICARE AAD GROUP PTAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com