Hartjen Spine Care, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D33378 Issued in MD

Legal business name

HARTJEN SPINE CARE, LLC

Practice address

615 W Macphail Rd
Suite 210
Bel Air, MD 21014-4309

Phone

(443) 643-2078

Fax

(443) 643-2088

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles A Hartjen, M.D.

Title

President

Phone

(410) 274-4080

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1194172759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "SUITE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "443-643-2082",
            "fax_number": "443-643-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MACPHAIL RD",
            "address_2": "SUITE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144309",
            "telephone_number": "443-643-2078",
            "fax_number": "443-643-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTJEN SPINE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "HARTJEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-274-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D33378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407041100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Sara Harrison, MS OTR/L
• Sarah Lynn Harrison, DPT, OCS
• Courtney Hart, LCSW-C
• Katharine Paige Hart, LCSW-C
• Sabrina Lynn Hart, LCSW-C
• Charles A. Hartjen, M.D.
• Angela Hartman, OTD, OTR/L
• Harvest Counseling LLC
• Haskins Cook and O Mara P a
• Donald Burke Haskins, M.D.

• Medical Specialty Clinic/Center in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.