Provider Demographics
NPI:1457386484
Name:ALDERMAN & LUMPKIN ET AL
Entity Type:Organization
Organization Name:ALDERMAN & LUMPKIN ET AL
Other - Org Name:EAR, NOSE & THROAT ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:N
Authorized Official - Last Name:WINGERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-821-5151
Mailing Address - Street 1:6565 NORTH CHARLES STREET
Mailing Address - Street 2:SUITE 601
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-821-5151
Mailing Address - Fax:410-823-7866
Practice Address - Street 1:6565 NORTH CHARLES STREET
Practice Address - Street 2:SUITE 601
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-821-5151
Practice Address - Fax:410-823-8309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00000207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B66145Medicare UPIN
G75592Medicare UPIN
E60651Medicare UPIN
H82490Medicare UPIN
B66933Medicare UPIN
D72216Medicare UPIN
P02073Medicare UPIN
MDH522Medicare ID - Type Unspecified
MD1123350001Medicare NSC
P01283Medicare UPIN