Healthcare Provider Details

I. General information

NPI: 1548121403
Provider Name (Legal Business Name): SPRINGSIDE HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8825 STANFORD BLVD STE 140
COLUMBIA MD
21045-4756
US

IV. Provider business mailing address

647 RIDGELY AVE STE 102
ANNAPOLIS MD
21401-1069
US

V. Phone/Fax

Practice location:
  • Phone: 410-357-1125
  • Fax: 410-357-1125
Mailing address:
  • Phone: 410-357-1125
  • Fax: 410-357-1125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL G FIRTH
Title or Position: OWNER
Credential: MD
Phone: 410-357-1125