Active NPI
Stephen Joseph Hittman, D.O.
- Pediatrics Physician
- Glen Burnie, MD
National Provider Identifier
1023019395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H35612
- Practice address
- 301 Hospital Dr
Glen Burnie, MD 21061-5803 - Phone
- (410) 787-4000
- Fax
- (410) 595-1914
- NPI assigned
- Aug 9, 2005
- Last updated
- Aug 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H35612 | MD | Primary |
Addresses
Primary practice location
301 Hospital Dr
Glen Burnie, MD 21061-5803
Mailing address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 835457 | Other | MD | MAMSI PRIMARY CARE |
| 017880 | Other | MD | JHHC PROVIDER NUMBER |
| 0100199 | Other | MD | AETNA CAPITATED |
| 548581900 | Medicaid | MD | |
| 7605-0004 | Other | MD | CAREFIRST BLUECHOICE |
| 1321285 | Other | MD | CIGNA PIN |
| 370006855 | Other | MD | RR MEDICARE |
| 4231392 | Other | MD | AETNA FEE FOR SERVICE |
| 235457 | Other | MD | MAMSI SPECIALIST |
| 425489-02 | Other | MD | CAREFIRST MD RENDERING |
| P11954 | Other | MD | CAREFIRST MPOS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H35612 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1023019395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615803",
"telephone_number": "410-787-4000",
"fax_number": "410-595-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615803",
"telephone_number": "410-787-4000",
"fax_number": "410-595-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITTMAN",
"first_name": "STEPHEN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "H35612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PRIMARY CARE",
"identifier": "835457",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC PROVIDER NUMBER",
"identifier": "017880",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CAPITATED",
"identifier": "0100199",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "548581900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "7605-0004",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "1321285",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "370006855",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA FEE FOR SERVICE",
"identifier": "4231392",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI SPECIALIST",
"identifier": "235457",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD RENDERING",
"identifier": "425489-02",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MPOS",
"identifier": "P11954",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.