Provider Demographics
NPI:1376414631
Name:ELMAN RETINA GROUP PA
Entity type:Organization
Organization Name:ELMAN RETINA GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-686-3000
Mailing Address - Street 1:9114 PHILADELPHIA RD STE 310
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4350
Mailing Address - Country:US
Mailing Address - Phone:410-686-3000
Mailing Address - Fax:
Practice Address - Street 1:1838 GREENE TREE RD STE 170
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-7100
Practice Address - Country:US
Practice Address - Phone:410-686-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELMAN RETINA GROUP PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory DiseaseGroup - Multi-Specialty