MEDICARE: SAINT PAUL PLACE SPECIALISTS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RP1001X	Pulmonary Disease Physician
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician
3	207QS1201X	Sleep Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1124971668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT PAUL PLACE SPECIALISTS, INC.

Provider Business Mailing Address
First Line	:	301 ST PAUL PLACE
Second Line	:	MEDICAL STAFF OFFICE
City	:	BALTIMORE
State	:	MD
Zip	:	21202-2102
Country	:	US
Telephone Number	:	410-659-2963
Fax Number	:

Provider Business Practice Location Address
First Line	:	9419 COMMON BROOK RD STE 212
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-7570
Country	:	US
Telephone Number	:	410-213-5595
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT/CFO
Name	:	JUSTIN DEIBEL
Credential	:
Telephone Number	:	410-659-2905

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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