St Paul Place Specialists, Inc.
NPI 1104791458 · Surgery Physician · Lutherville, MD
St Paul Place Specialists, Inc. is a Surgery Physician organization in Lutherville, MD (NPI 1104791458).
Provider details
- NPI number
- 1104791458
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Justin Deibel, Executive Vice President/Cfo(410) 659-2905
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Spps Lutherville
Registry dates
- Enumerated
- 2025-10-07
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is St Paul Place Specialists, Inc.'s NPI number?
- St Paul Place Specialists, Inc.'s National Provider Identifier (NPI) is 1104791458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Paul Place Specialists, Inc.?
- St Paul Place Specialists, Inc. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is St Paul Place Specialists, Inc. located?
- St Paul Place Specialists, Inc.'s practice location on file with NPPES is 1734 York Rd, Lutherville, MD 21093-5606.
- What is St Paul Place Specialists, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for St Paul Place Specialists, Inc. is (410) 332-9000.
- Who is the authorized official for St Paul Place Specialists, Inc.?
- The authorized official listed on St Paul Place Specialists, Inc.'s NPPES record is Justin Deibel, Executive Vice President/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Paul Place Specialists, Inc.'s NPI active?
- Yes — St Paul Place Specialists, Inc.'s NPI (1104791458) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.