Individual provider Active NPI

Jonathan Sidney Thierman, M.D.

  • Emergency Medicine Physician
  • Randallstown, MD
National Provider Identifier
1508076639
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0071045 Issued in MD
Practice address
5401 Old Court Rd
Randallstown, MD 21133-5103
Phone
(410) 521-5950
NPI assigned
May 24, 2007
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0071045 MD Primary

Addresses

Primary practice location

5401 Old Court Rd
Randallstown, MD 21133-5103

Mailing address

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101029000410 MD Practitioner - Emergency Medicine 5799979167 Reassigns benefits to 5 organizations
I20220302002049 DC Practitioner - Emergency Medicine 5799979167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Harvard Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203

1505 E Churchville Rd
Bel Air, MD 21014-4742

2327 Hanover Pike
Hampstead, MD 21074-1150
Phone (410) 848-3990

2570 -72 Quarry Lake Dr
Expresscare of Quarry Lake
Baltimore, MD 21209-3759
Phone (443) 842-6238

659 S Salisbury Blvd
2 Expresscare of Salisbury
Salisbury, MD 21801-5473
Phone (410) 543-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0071045MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
MNR Industries LLC Current Accepting new patients
Mep Observation Services LLC Emergency Medicine CurrentSince May 26, 2018 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
MNR Industries, LLC CurrentSince Feb 3, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Apr 27, 2020 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Apr 27, 2020 Accepting new patients
MNR Industries LLC CurrentSince Feb 3, 2022 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Feb 3, 2022 Accepting new patients
Mep Observation Services LLC CurrentSince May 26, 2018 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince May 26, 2020 Accepting new patients
Sinai Hospital of Baltimore, Inc Current Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1354 Eastern Blvd
Essex, MD 21221
Phone (443) 231-5203

2006 Rock Spring Rd
Forest Hill, MD 21050
Phone (410) 569-0044

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

8000 Loch Raven Blvd
Towson, MD 21286
Phone (410) 616-9027

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1508076639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335103",
            "telephone_number": "410-521-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335103",
            "telephone_number": "410-521-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIERMAN",
        "first_name": "JONATHAN",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0071045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.