Active NPI
Joshua Ross Pertman, PA-C
- Medical Physician Assistant
- Baltimore, MD
National Provider Identifier
1225781917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 6821 Reisterstown Rd Ste 106
Baltimore, MD 21215-1434 - Phone
- (410) 358-6450
- Fax
- (877) 751-1761
- NPI assigned
- Feb 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1192223 | ||
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
6821 Reisterstown Rd Ste 106
Baltimore, MD 21215-1434
Mailing address
12 Baroness CT
Owings Mills, MD 21117-4505
Phone (410) 982-8773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1932399466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1225781917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BARONESS CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174505",
"telephone_number": "410-982-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6821 REISTERSTOWN RD STE 106",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212151434",
"telephone_number": "410-358-6450",
"fax_number": "877-751-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERTMAN",
"first_name": "JOSHUA",
"middle_name": "ROSS",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": "1192223",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Personal Injury Management Center LLC
- Personal Rehabilitation Services Inc
- Personaleyes LLC (Ideal Family Eye Care)
- Persons With Silent Disabilities Association
- Alexander D Persons, LCSW-C
- Julie Simpson Pertman, CPNP
- Catherine Pesce, M.D.
- Kerri Peschock, RN,MS,CRNA
- Ani Peshtani, D.O
- Josiah David Peske
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.