Active NPI
Hartjen Spine Care, P.a.
- Specialist
- Towson, MD
National Provider Identifier
1619038510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D33378
- Legal business name
- HARTJEN SPINE CARE, P.A.
- Practice address
- 6565 N Charles St
Suite 416
Towson, MD 21204-6800 - Phone
- (410) 830-2290
- Fax
- (410) 830-2293
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles A Hartjen, M.D.
- Title
- President
- Phone
- (410) 830-2290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D33378 | MD | Primary |
Addresses
Primary practice location
6565 N Charles St
Suite 416
Towson, MD 21204-6800
Mailing address
6565 N Charles St
Suite 416
Towson, MD 21204-6800
Phone (410) 830-2290
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0285376014 | Other | MD | CIGNA |
| 523068 | Other | MD | MAMSI |
| 3615682 | Other | MD | AETNO HMO |
| 4330577 | Other | MD | AETNA PPO |
| 1053594010 | Other | MD | NPI TYPE II |
| 1063416816 | Other | MD | NPI TYPE I NUMBER |
| J7980001 | Other | MD | CAREFIRST BCBS |
Other names 1
- Greater Baltimore Spine Care
National Provider Directory
National Provider DirectoryLocations
6565 N Charles St
Ste 509
Baltimore, MD 21204
Phone (410) 339-7784
6565 N Charles St
Ste 416
Towson, MD 21204
Phone (410) 825-0688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1619038510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 N CHARLES ST",
"address_2": "SUITE 416",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046800",
"telephone_number": "410-830-2290",
"fax_number": "410-830-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 N CHARLES ST",
"address_2": "SUITE 416",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046800",
"telephone_number": "410-830-2290",
"fax_number": "410-830-2293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTJEN SPINE CARE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "HARTJEN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-830-2290",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D33378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0285376014",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "523068",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNO HMO",
"identifier": "3615682",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4330577",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE II",
"identifier": "1053594010",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE I NUMBER",
"identifier": "1063416816",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "J7980001",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Greater Baltimore Spine Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.