NPIMap

Organization Active NPI

Habakuk Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Eldersburg, MD
National Provider Identifier
1003156894
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
HABAKUK INC
Practice address
1315 Breton Dr
Eldersburg, MD 21784-6137
Phone
(443) 518-6574
Fax
(410) 552-8289
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olayinka Olasimbo
Title
President
Phone
(443) 518-6574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

1315 Breton Dr
Eldersburg, MD 21784-6137

Mailing address

1315 Breton Dr
Eldersburg, MD 21784-6137
Phone (443) 518-6574

National Provider Directory

National Provider Directory
Tax ID family
Fast Track Urgent Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1003156894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 BRETON DR",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846137",
            "telephone_number": "443-518-6574",
            "fax_number": "410-552-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 BRETON DR",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846137",
            "telephone_number": "443-518-6574",
            "fax_number": "410-552-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABAKUK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "OLASIMBO",
        "authorized_official_first_name": "OLAYINKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-518-6574"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.