NPIMap

Organization Active NPI

Healthcare Partners of Central Maryland

  • Internal Medicine Physician
  • Randallstown, MD
National Provider Identifier
1477796647
Registry record updated Feb 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0066568 Issued in MD
Legal business name
HEALTHCARE PARTNERS OF CENTRAL MARYLAND
Practice address
5415 Old Court Rd
Suite 101
Randallstown, MD 21133-5170
Phone
(410) 922-1608
NPI assigned
Apr 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2015

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

Authorized official

Name
Dr. Kofi Owusu-Antwi, M.D
Title
Owner
Phone
(443) 462-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0066568 MD Primary

Addresses

Primary practice location

5415 Old Court Rd
Suite 101
Randallstown, MD 21133-5170

Mailing address

2010 Oden Dr
Eldersburg, MD 21784-7161
Phone (443) 462-8338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423872000000",
    "number": "1477796647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ODEN DR",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847161",
            "telephone_number": "443-462-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 OLD COURT RD",
            "address_2": "SUITE 101",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335170",
            "telephone_number": "410-922-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE PARTNERS OF CENTRAL MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2015-02-14",
        "status": "A",
        "authorized_official_last_name": "OWUSU-ANTWI",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-462-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2015; 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.