Johns Hopkins University
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Baltimore, MD
NPI 1134880404 · NPPES record last updated Jan 7, 2022
Key facts
- NPI
- 1134880404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- JOHNS HOPKINS UNIVERSITY
- Practice address
- 5738 Belair Rd
Baltimore, MD 21206-2603 - Phone
- (410) 426-0288
- NPI assigned
- Jan 7, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- JOHNS HOPKINS UNIVERSITY
Authorized official
- Name
- Shavonda L Keating
- Title
- Director of Provider Enrollment
- Phone
- (410) 933-6430
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Johns Hopkins Univ Emer
- Part of
- Johns Hopkins Univ Emer
Locations
5738 Belair Rd
Baltimore, MD 21206
Phone (410) 426-0288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes |
Addresses
Primary practice location
5738 Belair Rd
Baltimore, MD 21206-2603
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other names
- Koinonia Baptist Church
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All providers in Baltimore, MD · Endocrinology, Diabetes & Metabolism Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.