Organization Active NPI

Peter Hinderrberger, MD, PA

  • General Practice Physician
  • Baltimore, MD
National Provider Identifier
1649573239
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D30648 Issued in MD
Legal business name
PETER HINDERRBERGER, MD, PA
Practice address
4801 Yellowwood Ave
Baltimore, MD 21209-4622
Phone
(410) 367-6263
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Dr. Peter Hinderberger, M.D.
Title
President
Phone
(410) 367-6263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X D30648 MD Primary

Addresses

Primary practice location

4801 Yellowwood Ave
Baltimore, MD 21209-4622

Mailing address

4801 Yellowwood Ave
Baltimore, MD 21209-4622
Phone (410) 367-6263

National Provider Directory

National Provider Directory

Locations

4801 Yellowwood Ave
Baltimore, MD 21209
Phone (410) 367-6263

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1649573239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 YELLOWWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094622",
            "telephone_number": "410-367-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 YELLOWWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094622",
            "telephone_number": "410-367-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER HINDERRBERGER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "HINDERBERGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-367-6263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": "D30648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 21, 2010; 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.