Active NPI
Johns Hopkins University
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
National Provider Identifier
1508340316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- JOHNS HOPKINS UNIVERSITY
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-5000
- NPI assigned
- Sep 18, 2018
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768491611 | Medicaid | MD |
Other names 1
- JHU-REHAB MEDICINE/BEHAVIORAL HEALTH
National Provider Directory
National Provider Directory- Tax ID family
- Johns Hopkins Univ Emer
- Part of
- Johns Hopkins Univ Emer
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.
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-
- Endocrinology, Diabetes & Metabolism Physician
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-
- Obesity Medicine (Internal Medicine) Physician
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-
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-
- Internal Medicine Physician
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- NPI 1497615181
-
- Internal Medicine Physician
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-
- Internal Medicine Physician
- Bethesda, MD
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-
- Dental Hygienist
- Lutherville, MD
- NPI 1497682256
-
- Internal Medicine Physician
- Columbia, MD
- NPI 1497699615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1508340316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"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": "2018-09-18",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"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": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "768491611",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JHU-REHAB MEDICINE/BEHAVIORAL HEALTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JHU-REHAB MEDICINE/BEHAVIORAL HEALTH",
"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 8, 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.