Jack Matthew Titus, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

D0055378 Issued in MD

Practice address

111 Penn St
Baltimore, MD 21201-1020

Phone

(410) 333-3232

Fax

(410) 333-3063

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255418893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 WESTERN SEA RUN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291665",
            "telephone_number": "410-531-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PENN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011020",
            "telephone_number": "410-333-3232",
            "fax_number": "410-333-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "JACK",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MD",
            "license": "D0055378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Aaron Tisherman, MD
• Josephine Jubsia Titanji, RN
• Rudolf N Titanji, MD, MPH
• Jessica L Titherington, MD
• Emmanuel Wilfried Tito
• Humma Ishaq Tiwana, M.D.
• Caroline Tizard, MS RD LDN CSOWM
• TK McKnight Counseling Concepts, LLC
• Katherine Hanna Tkaczuk, M.D.
• Nick Tkeshelashvili, M.D.

• Legal Medicine in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Legal Medicine in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.