Individual provider Active NPI

Virginia Harte-Titus, P.A.-C

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1093730327
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C01045 Issued in MD
Practice address
110 Baughmans LN
Suite 270
Frederick, MD 21702-4059
Phone
(301) 846-0300
Fax
(301) 662-6047
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C01045 MD Primary

Addresses

Primary practice location

110 Baughmans LN
Suite 270
Frederick, MD 21702-4059

Mailing address

9649 Belair Rd
Second Floor
Baltimore, MD 21236-1100
Phone (410) 248-2642

Other identifiers 4

IdentifierTypeStateIssuer
250442OtherKAISER
93485MedicaidMD
012171OtherJOHNS HOPKINS HEALTHCARE
961574OtherNCPPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000129 MD Practitioner - Physician Assistant 7113103607 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians Inc CurrentSince Jan 1, 2014 Accepting new patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Oct 26, 2023 Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince Oct 26, 2023 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Jan 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Potomac Physicians PA Past Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

110 Baughmans Ln
Ste 270
Frederick, MD 21702
Phone (301) 846-0300

9649 Belair Rd
Fl Second
Nottingham, MD 21236
Phone (410) 248-2650

6655 Sykesville Rd
Sykesville, MD 21784
Phone (410) 795-2100

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1093730327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9649 BELAIR RD",
            "address_2": "SECOND FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212361100",
            "telephone_number": "410-248-2642",
            "fax_number": "410-248-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN",
            "address_2": "SUITE 270",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024059",
            "telephone_number": "301-846-0300",
            "fax_number": "301-662-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTE-TITUS",
        "first_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C01045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "250442",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93485",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTHCARE",
            "identifier": "012171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "961574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.