Provider Demographics
NPI:1134811755
Name:HOWARD COUNTY PEDIATRICS, LLC
Entity type:Organization
Organization Name:HOWARD COUNTY PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-992-9339
Mailing Address - Street 1:9501 OLD ANNAPOLIS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6335
Mailing Address - Country:US
Mailing Address - Phone:410-992-9339
Mailing Address - Fax:410-964-5150
Practice Address - Street 1:9501 OLD ANNAPOLIS RD STE 101
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-6335
Practice Address - Country:US
Practice Address - Phone:410-992-9339
Practice Address - Fax:410-964-5150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty