NPIMap

Organization Active NPI

Johns Hopkins University

Doing business as Galilee Baptist

  • Endocrinology, Diabetes & Metabolism Physician
  • Dundalk, MD
National Provider Identifier
1396487849
Registry record updated Apr 13, 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
Galilee Baptist
Practice address
Galilee Baptist Chuch
2440 N. Point Road
Dundalk, MD 21222
Phone
(410) 288-4677
Fax
(410) 367-3304
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 Operations
Phone
(410) 933-6430

Specialties & licenses 1

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

Addresses

Primary practice location

Galilee Baptist Chuch
2440 N. Point Road
Dundalk, MD 21222

Mailing address

Galilee Baptist Church
2440 N. Point Road
Dundalk, MD 21222
Phone (410) 288-4677

Other names 1

  • Galilee Baptist 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

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

Locations

2440 North Point Rd
Dundalk, MD 21222
Phone (410) 288-4677

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1396487849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GALILEE BAPTIST CHURCH",
            "address_2": "2440 N. POINT ROAD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "21222",
            "telephone_number": "410-288-4677",
            "fax_number": "410-367-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GALILEE BAPTIST CHUCH",
            "address_2": "2440 N. POINT ROAD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "21222",
            "telephone_number": "410-288-4677",
            "fax_number": "410-367-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-03-29",
        "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 OPERATIONS",
        "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": "Galilee Baptist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.