NPIMap

Organization Active NPI

Federal Hill Pediatric Center

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1184272296
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FEDERAL HILL PEDIATRIC CENTER
Practice address
724 Light St Ste a
Baltimore, MD 21230-3813
Phone
(304) 813-8332
NPI assigned
Sep 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Authorized official

Name
Dr. Ralph Eli Leblanc, MDNPI 1699826875
Title
Medical Director
Phone
(304) 813-8332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

724 Light St Ste a
Baltimore, MD 21230-3813

Mailing address

724 Light St Ste a
Baltimore, MD 21230-3813
Phone (304) 813-8332

Other identifiers 2

IdentifierTypeStateIssuer
06660MedicaidMD
419330000MedicaidMD

National Provider Directory

National Provider Directory

Locations

724 Light St
Ste A
Baltimore, MD 21230
Phone (304) 813-8332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567382400000",
    "number": "1184272296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 LIGHT ST STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303813",
            "telephone_number": "304-813-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 LIGHT ST STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303813",
            "telephone_number": "304-813-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL HILL PEDIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-813-8332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06660",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419330000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 2, 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.

Verify at the official NPI Registry.