Hartjen Spine Care, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D33378 Issued in MD

Legal business name

HARTJEN SPINE CARE, P.A.

Practice address

7300 Van Dusen Rd
Laurel, MD 20707-9463

Phone

(410) 683-7260

Fax

(410) 683-3492

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles A Hartjen, M.D.

Title

President

Phone

(410) 683-7260

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Greater Baltimore Spine Care Doing business as

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1053594010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TEXAS STATION CT",
            "address_2": "SUITE 300",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210938286",
            "telephone_number": "410-683-7260",
            "fax_number": "410-683-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "410-683-7260",
            "fax_number": "410-683-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTJEN SPINE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HARTJEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-683-7260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D33378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE LL",
            "identifier": "1619038510",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1063416816",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Baltimore Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandra Nicole Harris-Jackson, LCSW-C
• Danielle Harris, SLP-A
• David Randy Harris, C.O.
• Lashea Harris, LCSW-C
• Dana Lynn Harrison
• Doris Hashim-Cole
• Ronald Geoffrey Havelock, O.D.
• Haven Care Center, LLC
• Blaine Havens, SA-C, TS-C
• Shannon M Hawk, D.C.

• Specialist in Laurel, MD
• Providers in Laurel, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.