Individual provider Active NPI

Charlene Hafer-Macko, M.D.

  • Specialist
  • Baltimore, MD
National Provider Identifier
1124124326
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D44992 Issued in MD
Practice address
16 S Eutaw Street
Frenkil BLDG. 3Rd FL.
Baltimore, MD 21201
Phone
(410) 328-4323
Fax
(410) 328-1149
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D44992 MD Primary

Addresses

Primary practice location

16 S Eutaw Street
Frenkil BLDG. 3Rd FL.
Baltimore, MD 21201

Mailing address

16 S Eutaw Street
Frenkil BLDG. 3Rd FL.
Baltimore, MD 21201
Phone (410) 328-4323

Other names 1

  • Charlene Macko Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000259 MD Practitioner - Neurology 2062696677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Neurology Associates, P.a. Specialist CurrentSince Nov 1, 1995 Accepting new patients
University of Maryland Neurology Associates, P.a. Specialist CurrentSince Nov 1, 1995 Accepting new patients
University of Maryland Neurology Associates, P.a. Specialist Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

16 S Eutaw St
Fl 3
Baltimore, MD 21201
Phone (410) 328-4448

16 S Eutaw St
Bldg 3RD
Baltimore, MD 21201
Phone (410) 328-3037

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

Organizations & group practices 4

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1124124326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S EUTAW STREET",
            "address_2": "FRENKIL BLDG. 3RD FL.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-4323",
            "fax_number": "410-328-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW STREET",
            "address_2": "FRENKIL BLDG. 3RD FL.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-4323",
            "fax_number": "410-328-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFER-MACKO",
        "first_name": "CHARLENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D44992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "MACKO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.