Organization Active NPI

Herbert L Kronthal MD PA

  • Dermatology Physician
  • Baltimore, MD
National Provider Identifier
1053415356
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0006036 Issued in MD
Legal business name
HERBERT L KRONTHAL MD PA
Practice address
6301 N Charles Street
Suite 1
Baltimore, MD 21212-1094
Phone
(410) 377-4430
Fax
(410) 377-4437
NPI assigned
Sep 8, 2006
Reactivated
Feb 22, 2010
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Herbert L Kronthal, MD
Title
President
Phone
(410) 377-4430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0006036 MD Primary

Addresses

Primary practice location

6301 N Charles Street
Suite 1
Baltimore, MD 21212-1094

Mailing address

6301 N Charles Street
Suite 1
Baltimore, MD 21212-1094
Phone (410) 377-4430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1053415356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N CHARLES STREET",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121094",
            "telephone_number": "410-377-4430",
            "fax_number": "410-377-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N CHARLES STREET",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121094",
            "telephone_number": "410-377-4430",
            "fax_number": "410-377-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT L KRONTHAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-02-22",
        "deactivation_date": "2007-10-22",
        "reactivation_date": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "KRONTHAL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-377-4430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0006036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.