Organization Active NPI

Hartjen Spine Care, P.a.

  • Specialist
  • Towson, MD
National Provider Identifier
1619038510
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D33378 Issued in MD
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

Updated by the provider on May 9, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0285376014OtherMDCIGNA
523068OtherMDMAMSI
3615682OtherMDAETNO HMO
4330577OtherMDAETNA PPO
1053594010OtherMDNPI TYPE II
1063416816OtherMDNPI TYPE I NUMBER
J7980001OtherMDCAREFIRST BCBS

Other names 1

  • Greater Baltimore Spine Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.