NPIMap

Organization Active NPI

Keswick Multi-Care Center Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1184844326
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
32-039 Issued in MD
Legal business name
KESWICK MULTI-CARE CENTER INC
Practice address
700 W 40TH St
Baltimore, MD 21211-2104
Phone
(410) 235-8860
Fax
(410) 235-7425
NPI assigned
Apr 30, 2007
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Mr. Bret Stine, AO
Title
Administrator
Phone
(410) 662-4293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 32-039 MD Primary

Addresses

Primary practice location

700 W 40TH St
Baltimore, MD 21211-2104

Mailing address

700 W 40TH St
Baltimore, MD 21211-2104
Phone (410) 235-8860

Other identifiers 1

IdentifierTypeStateIssuer
C30935OtherMDRAILROAD PROVIDER #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1184844326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 40TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112104",
            "telephone_number": "410-235-8860",
            "fax_number": "410-235-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 40TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112104",
            "telephone_number": "410-235-8860",
            "fax_number": "410-235-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESWICK MULTI-CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-662-4293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "32-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER #",
            "identifier": "C30935",
            "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 Feb 4, 2020; 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.