NPIMap

Organization Active NPI

Johns Hopkins University

Doing business as Mount Pleasant Baptist Church

  • Endocrinology, Diabetes & Metabolism Physician
  • Baltimore, MD
National Provider Identifier
1245976430
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
JOHNS HOPKINS UNIVERSITY
Doing business as
Mount Pleasant Baptist Church
Practice address
6000 Radecke Ave
Baltimore, MD 21206-3955
Phone
(410) 325-3080
Fax
(410) 614-9409
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHNS HOPKINS UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Shavonda L Keating
Title
Associate Director a/R Opeations
Phone
(410) 933-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

6000 Radecke Ave
Baltimore, MD 21206-3955

Mailing address

6000 Radecke Ave
Baltimore, MD 21206-3955
Phone (410) 325-3080

Other names 1

  • MOUNT PLEASANT BAPTIST CHURCH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johns Hop Univ Inter Me439 organizations share this tax ID, including this one
Part of
Johns Hop Univ Inter Me

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1245976430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 RADECKE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063955",
            "telephone_number": "410-325-3080",
            "fax_number": "410-614-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 RADECKE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063955",
            "telephone_number": "410-325-3080",
            "fax_number": "410-614-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNS HOPKINS UNIVERSITY",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "SHAVONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR A/R OPEATIONS",
        "authorized_official_telephone_number": "410-933-6430"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT PLEASANT BAPTIST CHURCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 10, 2022; 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.