ST. AGNES HEALTHCARE, INC. – NPI #1659191385
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

ST. AGNES HEALTHCARE, INC. is a surgeon located in BALTIMORE, MD. NPPES has assigned the NPI number 1659191385 to ST. AGNES HEALTHCARE, INC. on October 16, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. AGNES HEALTHCARE, INC. below.

NPI Profile for
ST. AGNES HEALTHCARE, INC.

NPI Number
1659191385
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. AGNES HEALTHCARE, INC.
Primary location
3407 WILKENS AVE STE 400
BALTIMORE, MD 21229-5074
Phone: (410) 646-4888 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - ST. AGNES HEALTHCARE, INC. is subpart of another organization.
Authorized Official
WILLIAM HIGGINBOTHAM
PRESIDENT/CEO
Phone: (667) 234-3162
Updated
Certification Date
Oct 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.