Organization
ST PAUL PLACE SPECIALISTS, INC.
Active
Organization
ST PAUL PLACE SPECIALISTS, INC.
Active
Other names
SPPS Overlea
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DEIBEL (EXECUTIVE VICE PRESIDENT/CFO)
(410) 659-2905
Entity
Organization
Contact information
Practice address
7602 BELAIR RD, BALTIMORE, MD 21236-4088
(410) 332-9000
Mailing address
301 ST PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
(410) 659-2963
(410) 332-9789
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207N00000X
Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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