Active NPI
Howard Kenneth Schultz Jr., MD
- Family Medicine Physician
- Gambrills, MD
National Provider Identifier
1164450920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D35848
- Practice address
- 1438 Defense Highway
Suite 201
Gambrills, MD 21054 - Phone
- (410) 721-3200
- Fax
- (410) 721-2680
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D35848 | MD | Primary |
Addresses
Primary practice location
1438 Defense Highway
Suite 201
Gambrills, MD 21054
Mailing address
1438 Defense Highway
Suite 201
Gambrills, MD 21054
Phone (410) 721-3200
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9262313 | Other | CHOICE CARE | |
| MD819172 | Other | FIRST HEALTH | |
| 2845851100 | Other | MEDICAL ASSISTANCE | |
| 819172 | Other | CCN | |
| 7567HK | Other | BLUECROSS BLUESHIELD | |
| C0850001 | Other | BLUECROSS BLUESHIELD FEDE | |
| 20886 | Other | JOHN HOPKINS HEALTH CARE | |
| 323179 | Other | ALLIANCE | |
| 323179 | Other | MAMSI | |
| 643065 | Other | INFORMED | |
| 284851100 | Medicaid | MD | |
| 522281410 | Other | COVENTRY HEALTH | |
| 522281410 | Other | FIDELITY | |
| P11392 | Other | BLUECROSS BLUESHIELD MPOS | |
| 40305782 | Other | AETNA | |
| 723256 | Other | NCPPO | |
| C0850001 | Other | CAREFIRST BLUECHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D35848 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1164450920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 DEFENSE HIGHWAY",
"address_2": "SUITE 201",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "21054",
"telephone_number": "410-721-3200",
"fax_number": "410-721-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 DEFENSE HIGHWAY",
"address_2": "SUITE 201",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "21054",
"telephone_number": "410-721-3200",
"fax_number": "410-721-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "HOWARD",
"middle_name": "KENNETH",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D35848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE",
"identifier": "9262313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "MD819172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "2845851100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "819172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "7567HK",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD FEDE",
"identifier": "C0850001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN HOPKINS HEALTH CARE",
"identifier": "20886",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "323179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "323179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INFORMED",
"identifier": "643065",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284851100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH",
"identifier": "522281410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELITY",
"identifier": "522281410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD MPOS",
"identifier": "P11392",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "40305782",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "723256",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "C0850001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.