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Contact Information

ST PAUL PLACE SPECIALISTS, INC.
3290 N RIDGE RD STE 220
ELLICOTT CITY, MD21043-3657
 Phone: 410-332-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ST PAUL PLACE SPECIALISTS, INC.

NPI Number 1376418632
LBN Legal business name ST PAUL PLACE SPECIALISTS, INC.
Authorized official JUSTIN DEIBEL - (EXECUTIVE VICE PRESIDENT/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2025
Last updated 10/07/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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