Provider Demographics
NPI:1609065226
Name:TANSINDA MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:TANSINDA MEDICAL ASSOCIATES PA
Other - Org Name:JAMES TANSINDA MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TANSINDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-552-2994
Mailing Address - Street 1:PO BOX 1305
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21041-1305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 ARMORY PL
Practice Address - Street 2:SUITE 3H
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4603
Practice Address - Country:US
Practice Address - Phone:443-552-2994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056948207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA871OtherAMERIGROUP
MDKBJ2TAOtherCAREFIRST BC/BS
MD2106670OtherALLIANCE PPO
MD3054957OtherAETNA HEALTH PLAN
MDDC0587OtherPALMETTO GBA
MDS422OtherCAREFIRST BLUECHOICE
MD2100-1920OtherELDERHEALTH
04-05905OtherUNITED HEALTHCARE
MDDC0587Medicare PIN
MDA871OtherAMERIGROUP
MDDC0587OtherPALMETTO GBA