Active NPI
Johns Hopkins University
- Neurocritical Care Physician
- Baltimore, MD
National Provider Identifier
1386245751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- Legal business name
- JOHNS HOPKINS UNIVERSITY
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-5000
- NPI assigned
- Nov 3, 2020
- Organization subpart
- Yes
- Parent organization
- JOHNS HOPKINS UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shavonda L Keating
- Title
- Sr Production Unit MGR
- Phone
- (410) 933-6430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
PO Box 64227
Baltimore, MD 21264-4227
Phone (410) 933-6423
Other names 1
- JHU - NEUROCRITICAL CARE
National Provider Directory
National Provider Directory- Part of
- Johns Hopkins Univ Emer
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615075200000",
"number": "1386245751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64227",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644227",
"telephone_number": "410-933-6423",
"fax_number": "410-933-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-955-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNS HOPKINS UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOHNS HOPKINS UNIVERSITY",
"enumeration_date": "2020-11-03",
"last_updated": "2021-03-07",
"certification_date": "2021-03-07",
"status": "A",
"authorized_official_last_name": "KEATING",
"authorized_official_first_name": "SHAVONDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SR PRODUCTION UNIT MGR",
"authorized_official_telephone_number": "410-933-6430"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JHU - NEUROCRITICAL CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JHU - NEUROCRITICAL CARE",
"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 Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.