Johns Hopkins Personalized Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOHNS HOPKINS PERSONALIZED CARE

Practice address

10751 Falls Rd Ste 303
Timonium, MD 21093-4551

Phone

(410) 933-1200

NPI assigned

Nov 15, 2023

Last updated

Nov 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shavonda Keating

Title

Dir Provider Enrollment

Phone

(410) 302-2229

Specialties & licenses 1

Addresses

Tax ID family

Johns Hopkins Personalized Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johns Hopkins Personalized Care

  • Psychiatry Physician
  • Timonium, MD
  • NPI 1184489791
  NPD tax ID

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1669247086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 FALLS RD STE 303",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934551",
            "telephone_number": "410-933-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Greenleigh Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212202004",
            "country_code": "US",
            "telephone_number": "410-933-6430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNS HOPKINS PERSONALIZED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "SHAVONDA",
        "authorized_official_title_or_position": "DIR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "410-302-2229"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Jobe, CRNP
• Anush John, MD, D.MIN, DMD
• Johns Hopkins Community Physicians, Inc (JHCP - 2360 W Joppa Rd Ste 320 - Provider Type: 20 - Physicia)
• Johns Hopkins Community Physicians, Inc
• Johns Hopkins Personalized Care
• Johns Hopkins University (Jhu - 2600 Pot Spring Rd - Provider Type: 20-Physician)
• Johns Hopkins University (Jhu - 110 W Timonium Rd Ste 100 - Provider Type: 20 - Physician)
• Johns Hopkins University (Jhu -2360 W Joppa Rd Ste 205 - Provider Type: 20-Physician)
• Johns Hopkins University (Jhu - 2360 W Joppa Rd Ste 320 - Provider Type: 20-Physician)
• Johns Hopkins University (Jhu -2360 W Joppa Rd Ste 200 - Provider Type: 20-Physician)

• Internal Medicine Physician in Timonium, MD
• Providers in Timonium, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.