Provider Demographics
NPI:1023231263
Name:RICELY AND SCHECHTER PA
Entity type:Organization
Organization Name:RICELY AND SCHECHTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:B
Authorized Official - Last Name:ASHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-339-7910
Mailing Address - Street 1:6565 N CHARLES ST
Mailing Address - Street 2:SUITE 615
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6800
Mailing Address - Country:US
Mailing Address - Phone:410-339-7910
Mailing Address - Fax:410-296-7924
Practice Address - Street 1:6565 N CHARLES ST
Practice Address - Street 2:SUITE 615
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6800
Practice Address - Country:US
Practice Address - Phone:410-339-7910
Practice Address - Fax:410-296-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0018792207RC0000X
MDD0032338207RC0000X
MDR118945363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0765526OtherAETNA
MD39936601OtherBCBS
MD338742OtherMAMSI JR
MD42045902OtherBCBS
MDW3370000OtherBCBSFEP
MD338744OtherMAMSIRS
MDQ61412Medicare UPIN
MDW3370000OtherBCBSFEP
MDD73851Medicare UPIN
MDK368Medicare ID - Type UnspecifiedGROUP