OrganizationActive
Baltimore Spine Center, LLC
NPI 1316962244 · Ambulatory Surgical Clinic/Center · Lutherville, MD
Provider details
- NPI number
- 1316962244
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Moore, Administrator(410) 828-4789
- License
- A1413 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
1300 Bellona Ave
Building D
Lutherville, MD 21093-5465
Phone: (410) 828-4789
Fax: (410) 337-6999
Street-level locationGet directions
Mailing address
1300 Bellona Ave
Lutherville, MD 21093-5465
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.