NPIMap

Organization Active NPI

Jackson Memorial Hospital

  • Pain Medicine (Anesthesiology) Physician
  • Towson, MD
National Provider Identifier
1215189592
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D0074525 Issued in MD
Legal business name
JACKSON MEMORIAL HOSPITAL
Practice address
8322 Bellona Ave
Suite 330
Towson, MD 21204-2065
Phone
(401) 825-6945
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Dr. Ronjeet Konda Reddy, MD
Title
Physician
Phone
(352) 895-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X D0074525 MD Primary

Addresses

Primary practice location

8322 Bellona Ave
Suite 330
Towson, MD 21204-2065

Mailing address

801 Key Hwy
Apt#339
Baltimore, MD 21230-3976
Phone (352) 895-0855

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1215189592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 KEY HWY",
            "address_2": "APT#339",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303976",
            "telephone_number": "352-895-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE",
            "address_2": "SUITE 330",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "401-825-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RONJEET",
        "authorized_official_middle_name": "KONDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-895-0855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0074525",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 10, 2013; 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.