1457378358 NPI number — FINNEY TRIMBLE AND ASSOCIATES PA

Table of content: (NPI 1457378358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457378358 NPI number — FINNEY TRIMBLE AND ASSOCIATES PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FINNEY TRIMBLE AND ASSOCIATES PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1457378358
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1205 YORK ROAD
Provider Second Line Business Mailing Address:
SUITE 22
Provider Business Mailing Address City Name:
LUTHERVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21093-6229
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-821-6260
Provider Business Mailing Address Fax Number:
410-296-6936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1205 YORK ROAD
Provider Second Line Business Practice Location Address:
SUITE 22
Provider Business Practice Location Address City Name:
LUTHERVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21093-6229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-821-6260
Provider Business Practice Location Address Fax Number:
410-296-6936
Provider Enumeration Date:
07/16/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROSS
Authorized Official First Name:
LAURENCE
Authorized Official Middle Name:
H
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-821-6260

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  D0035727 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208600000X , with the licence number: D0038712 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: D0018442 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: H653FI . This is a "CAREFIRST BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: R525000 . This is a "BLUE CHOICE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: R525000 . This is a "FEDERAL BCBS" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".