Individual provider Active NPI

Garry Jennings, MD

  • Specialist
  • Baltimore, MD
National Provider Identifier
1245206390
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0042216 Issued in MD
Practice address
3102 N Hilton St FL 1
Baltimore, MD 21216-1450
Phone
(410) 578-0730
Fax
(410) 578-0730
NPI assigned
Feb 28, 2006
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0042216 MD Primary

Addresses

Primary practice location

3102 N Hilton St FL 1
Baltimore, MD 21216-1450

Mailing address

708 Brookwood Rd
Baltimore, MD 21229-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050301000192 DC Practitioner - Anesthesiology 7214998640 Reassigns benefits to 1 organization
I20081120000315 MD Practitioner - AnesthesiologyPractitioner - Pain Management 7214998640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Geisel School of Medicine at Dartmouth, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3102 N Hilton St
Baltimore, MD 21216-1450
Phone (410) 578-0730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0042216MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Zinder Anesthesia, LLC CurrentSince Jun 1, 2010 Accepting new patients
Q O L Pain Management Center LLC CurrentSince Aug 4, 2010 Accepting new patients
Zinder Anesthesia Associates LLC Past Accepting new patients
Qol Pain Management LLC. Past Accepting new patients

Locations

3102 N Hilton St
Baltimore, MD 21216
Phone (410) 578-0730

3102 N Hilton St
Fl 1
Baltimore, MD 21216
Phone (410) 578-0730

6660 Security Blvd
Ste 5
Baltimore, MD 21207
Phone (410) 265-5300

8028 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 553-2400

3 Greenwood Pl
Ste 300
Pikesville, MD 21208
Phone (410) 580-0004

10801 Lockwood Dr
Silver Spring, MD 20901
Phone (301) 298-1040

344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1245206390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BROOKWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 N HILTON ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161450",
            "telephone_number": "410-578-0730",
            "fax_number": "410-578-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "GARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0042216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.