Active NPI
John Michael Vincent, M.D.
- Anesthesiology Physician
- Towson, MD
National Provider Identifier
1184688269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0036776
- Practice address
- 6701 N Charles St
Suite 4226
Towson, MD 21204-6808 - Phone
- (443) 849-2202
- Fax
- (410) 337-5068
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0036776 | MD | Primary |
Addresses
Primary practice location
6701 N Charles St
Suite 4226
Towson, MD 21204-6808
Mailing address
230 Schilling Cir
Ste 170
Hunt Valley, MD 21031-1417
Phone (410) 296-4616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284361700 | Medicaid | MD |
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 |
|---|---|---|---|
| D0036776 | MD | MD | Anesthesiology Physician |
| 16233 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Pain Management, LLC | Past | Accepting new patients | |
| Chesapekae Perioperative Services L.L.C. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Baltimore, MD
- NPI 1437395167
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1891724480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1184688269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 SCHILLING CIR",
"address_2": "STE 170",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210311417",
"telephone_number": "410-296-4616",
"fax_number": "410-337-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "SUITE 4226",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-2202",
"fax_number": "410-337-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0036776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284361700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.