Allen Hettleman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0027569 Issued in MD

Practice address

1838 Greene Tree Rd
Ste 300
Pikesville, MD 21208

Phone

(410) 653-0366

Fax

(410) 653-2527

NPI assigned

Oct 30, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allen Hettleman MD LLC

  • Internal Medicine Physician
  • Pikesville, MD
  • NPI 1174601629
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1326227109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "STE 300",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-653-0366",
            "fax_number": "410-653-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "STE 300",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-653-0366",
            "fax_number": "410-653-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTLEMAN",
        "first_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0027569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373001800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micaella Hernandez
• Chanel Herron
• Joan Ellen Hersher, PT
• Kathleen Diana Hershey
• Ethan Hersko, PA-C
• Jaalah-Ai Heughan, LCPC
• Allison Heussler, PHARMD
• Akira Shanai Hickey
• Kim Belinda High, OTR/L
• Maxise Hilaire

• Internal Medicine Physician in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.