NPIMap

Organization Active NPI

Helixcare Medical Group, LLC

Doing business as Middle River Family Practice

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1093942955
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HELIXCARE MEDICAL GROUP, LLC
Doing business as
Middle River Family Practice
Practice address
107 Beacon Rd
Baltimore, MD 21220-3504
Phone
(410) 686-9019
Fax
(410) 687-1975
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Jamie L. Steele-White
Title
Credentialing Associate
Phone
(410) 933-3073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

107 Beacon Rd
Baltimore, MD 21220-3504

Mailing address

107 Beacon Rd
Baltimore, MD 21220-3504
Phone (410) 686-9019

Other identifiers 3

IdentifierTypeStateIssuer
KT80OtherMDCAREFIRST OF MD
CC3132OtherMDRAILROAD MEDICARE
W652OtherMDCAREFIRST OF DC

Other names 1

  • Middle River Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Helixcare Medical Group LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 Beacon Rd
Middle River, MD 21220
Phone (410) 686-9019

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1093942955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BEACON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203504",
            "telephone_number": "410-686-9019",
            "fax_number": "410-687-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BEACON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203504",
            "telephone_number": "410-686-9019",
            "fax_number": "410-687-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELIXCARE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "STEELE-WHITE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CREDENTIALING ASSOCIATE",
        "authorized_official_telephone_number": "410-933-3073"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "KT80",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC3132",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "W652",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle River Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2009; 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.