OrganizationActive
Urologic LLC
NPI 1922698596 · Urology Physician · Annapolis, MD
Provider details
- NPI number
- 1922698596
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mara Holton, Ceo(410) 504-4004
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1607 Annesley Ct
Annapolis, MD 21401-6497
Phone: (410) 504-4004
Street-level locationGet directions
Mailing address
Po Box 1023
Gambrills, MD 21054-3023
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.