Provider Demographics
NPI:1649272824
Name:CUMBERLAND VALLEY ENT CONSULTANTS
Entity type:Organization
Organization Name:CUMBERLAND VALLEY ENT CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:301-714-4375
Mailing Address - Street 1:11110 MEDICAL CAMPUS RD
Mailing Address - Street 2:STE 126
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6799
Mailing Address - Country:US
Mailing Address - Phone:301-714-4375
Mailing Address - Fax:301-714-4399
Practice Address - Street 1:11110 MEDICAL CAMPUS RD
Practice Address - Street 2:STE 126
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6799
Practice Address - Country:US
Practice Address - Phone:301-714-4375
Practice Address - Fax:301-714-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD02426700OtherCAPITAL BLUE CROSS
MD59855OtherPA BS, MD LOCATION
PA593934OtherPA BS, PA LOCATION
MDH883OtherCAREFIRST REGIONAL NTWRK
MDS186OtherCAREFIRST BLUE SHIELD
MD218761OtherMAMSI
MDS186OtherCAREFIRST BLUE SHIELD