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Contact Information

ST PAUL PLACE SPECIALISTS, INC.
9821 BROKEN LAND PKWY
COLUMBIA, MD21046-1161
 Phone: 410-332-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

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

NPI # 1730054065
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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