Healthcare Provider Details

I. General information

NPI: 1962369223
Provider Name (Legal Business Name): NORTHWEST HOSPITAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 W BELVEDERE AVE
BALTIMORE MD
21215-5267
US

IV. Provider business mailing address

200 MEMORIAL AVE
WESTMINSTER MD
21157-5726
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-2297
  • Fax: 410-601-8946
Mailing address:
  • Phone: 410-601-2297
  • Fax: 410-601-8946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID MCCORMICK
Title or Position: AVP
Credential:
Phone: 717-314-2141