Organization Active NPI

Heartfelt Medical Group L L C

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1356400204
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D18847 Issued in MD
Legal business name
HEARTFELT MEDICAL GROUP L L C
Practice address
301 St Paul PL
Suite 509
Baltimore, MD 21202
Phone
(410) 837-2006
Fax
(410) 244-8510
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Dr. Marsha Jeanette Brown, MD
Title
Owner
Phone
(410) 837-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D18847 MD Primary

Addresses

Primary practice location

301 St Paul PL
Suite 509
Baltimore, MD 21202

Mailing address

301 Saint Paul PL
Suite 509
Baltimore, MD 21202-2102
Phone (410) 837-2006

Other identifiers 1

IdentifierTypeStateIssuer
187761500MedicaidMD

National Provider Directory

National Provider Directory

Locations

301 Saint Paul St
Ste 509
Baltimore, MD 21202
Phone (410) 837-2006

301 Saint Paul St
Ste 214
Baltimore, MD 21202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1356400204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "SUITE 509",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-837-2006",
            "fax_number": "410-244-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ST PAUL PL",
            "address_2": "SUITE 509",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-837-2006",
            "fax_number": "410-244-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTFELT MEDICAL GROUP L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-837-2006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D18847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187761500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 4, 2012; 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.