Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Paul Place Specialists, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1902771249

St Paul Place Specialists, Inc is a Plastic and Reconstructive Surgery Physician in Annapolis, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Admiral Cochrane Dr
Annapolis, MD 21401-7368
Phone: (410) 332-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1902771249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Deibel — Executive Vice President/Cfo · (410) 659-2905
Other names Spps Annapolis Admiral Cochrane
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address301 St Paul Place, Medical Staff Office, Baltimore, MD 21202-2102

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