Active NPI
Harford Mobile Medicine LLC
- Family Medicine Physician
- Forest Hill, MD
National Provider Identifier
1043910136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HARFORD MOBILE MEDICINE LLC
- Practice address
- 1501 Morse Rd
Forest Hill, MD 21050-1003 - Phone
- (443) 243-9371
- NPI assigned
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine O Newsome, CRNP
- Title
- Owner
- Phone
- (443) 243-9371
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1501 Morse Rd
Forest Hill, MD 21050-1003
Mailing address
1501 Morse Rd
Forest Hill, MD 21050-1003
Phone (443) 243-9371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609107556 | Medicaid | MD | |
| R152794 | Other | MD | MARYLAND BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Conowingo, MD
- NPI 1609107556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1043910136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 MORSE RD",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210501003",
"telephone_number": "443-243-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 MORSE RD",
"city": "FOREST HILL",
"state": "MD",
"postal_code": "210501003",
"telephone_number": "443-243-9371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARFORD MOBILE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A",
"authorized_official_last_name": "NEWSOME",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-243-9371",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609107556",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF NURSING",
"identifier": "R152794",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.