MEDICARE: UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1225991664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	29 S GREENE ST STE 502
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-1504
Country	:	US
Telephone Number	:	667-214-1734
Fax Number	:	410-706-6976

Provider Business Practice Location Address
First Line	:	1581 SULPHUR SPRING RD
Second Line	:
City	:	HALETHORPE
State	:	MD
Zip	:	21227-2559
Country	:	US
Telephone Number	:	667-214-1718
Fax Number	:	410-328-5147

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	VANENIA CROWDER
Credential	:
Telephone Number	:	667-214-1734

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

Similar Medicare Providers

1508729930 — UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Practice Location Address:

1581 SULPHUR SPRING RD
HALETHORPE, MD
21227-2559

Practice Phone: 667-214-1718
Practice Fax: 410-328-5147

1518821495 — GOFFE HEALTH AND WELLNESS LLC
Practice Location Address:

1334 SULPHUR SPRING
HALETHORPE, MD
21227

Practice Phone: 410-935-7227
Practice Fax:

1376278192 — SAMANTHA DRACUP LCSW-C
Practice Location Address:

2700 WASHINGTON AVE
HALETHORPE, MD
21227-3115

Practice Phone: 667-600-2353
Practice Fax:

1487650891 — SHANITA CHASE MD
Practice Location Address:

1701 TWIN SPRINGS RD
HALETHORPE, MD
21227-3553

Practice Phone: 410-737-5000
Practice Fax:

1932105145 — DR. CICELY MONIQUE PICKETT MD
Practice Location Address:

1701 TWIN SPRINGS RD
HALETHORPE, MD
21227-3553

Practice Phone: 800-777-7904
Practice Fax:

1376540922 — HUIJUN SHI M.D.
Practice Location Address:

1701 TWIN SPRINGS RD
HALETHORPE, MD
21227-3553

Practice Phone: 410-737-5000
Practice Fax:

Directions to “UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.