Provider Demographics
NPI:1255351516
Name:GENERAL SURGERY SPECIALISTS LLC
Entity type:Organization
Organization Name:GENERAL SURGERY SPECIALISTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARRUDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-581-0700
Mailing Address - Street 1:23 CROSSROADS DR
Mailing Address - Street 2:STE 240
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:410-581-0700
Mailing Address - Fax:410-581-0705
Practice Address - Street 1:23 CROSSROADS DR
Practice Address - Street 2:STE 240
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:410-581-0700
Practice Address - Fax:410-581-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D01223Medicare UPIN
MD186PMedicare ID - Type Unspecified
D70379Medicare UPIN
C48840Medicare UPIN