Organization Active NPI

Terren M. Himelfarb, M.D., P.a.

  • Urology Physician
  • Baltimore, MD
National Provider Identifier
1184922411
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TERREN M. HIMELFARB, M.D., P.A.
Practice address
1900 E Northern Pkwy
Suite 305
Baltimore, MD 21239-2113
Phone
(410) 433-0760
Fax
(410) 532-3503
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Terren M. Himelfarb, M.D.
Title
Owner
Phone
(410) 433-0760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1900 E Northern Pkwy
Suite 305
Baltimore, MD 21239-2113

Mailing address

1900 E Northern Pkwy
Suite 305
Baltimore, MD 21239-2113
Phone (410) 433-0760

Other identifiers 5

IdentifierTypeStateIssuer
R437OtherDCCAREFIRST
4258TMOtherMDCAREFIRST
GROUP # PENDINGOtherMDMEDICAL ASSISTANCE
GROUP PTAN PENDINGOtherGARAILROAD MEDICARE
201042 (GROUP PTAN)OtherMDMEDICARE

National Provider Directory

National Provider Directory

Locations

1900 E Northern Pkwy
Baltimore, MD 21239
Phone (410) 433-0760

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1184922411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "address_2": "SUITE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "410-433-0760",
            "fax_number": "410-532-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "address_2": "SUITE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "410-433-0760",
            "fax_number": "410-532-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERREN M. HIMELFARB, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "HIMELFARB",
        "authorized_official_first_name": "TERREN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-433-0760",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "R437",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "4258TM",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "GROUP # PENDING",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "GROUP PTAN PENDING",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "201042 (GROUP PTAN)",
            "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 Jul 20, 2011; 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.