1023231263 NPI number — RICELY AND SCHECHTER PA

Table of content: (NPI 1023231263)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023231263 NPI number — RICELY AND SCHECHTER PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICELY AND SCHECHTER 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:
1023231263
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:
6565 N CHARLES ST
Provider Second Line Business Mailing Address:
SUITE 615
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21204-6800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-339-7910
Provider Business Mailing Address Fax Number:
410-296-7924

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6565 N CHARLES ST
Provider Second Line Business Practice Location Address:
SUITE 615
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-6800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-339-7910
Provider Business Practice Location Address Fax Number:
410-296-7924
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ASHTON
Authorized Official First Name:
ROSALIND
Authorized Official Middle Name:
B
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
410-339-7910

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  H0018792 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207RC0000X , with the licence number: D0032338 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 363LA2200X , with the licence number: R118945 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 0765526 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 39936601 . This is a "BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 338742 . This is a "MAMSI JR" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 42045902 . This is a "BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: W3370000 . This is a "BCBSFEP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 338744 . This is a "MAMSIRS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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