Active NPI
Healthscape Elizabeth Thomas MBR
- Customized Equipment (DME)
- Baltimore, MD
National Provider Identifier
1679208227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- HEALTHSCAPE ELIZABETH THOMAS MBR
- Practice address
- 3996 Roland Ave
Baltimore, MD 21211-2018 - Phone
- (443) 850-0693
- NPI assigned
- Jul 19, 2022
- 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
- Elizabeth Thomas
- Title
- Ceo
- Phone
- (443) 850-0069
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
3996 Roland Ave
Baltimore, MD 21211-2018
Mailing address
9722 Groffs Mill Dr
Owings Mills, MD 21117-6341
Phone (443) 850-0693
National Provider Directory
National Provider DirectoryLocations
3996 Roland Ave
Baltimore, MD 21211
Phone (443) 850-0693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658188800000",
"number": "1679208227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9722 GROFFS MILL DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176341",
"telephone_number": "443-850-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3996 ROLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112018",
"telephone_number": "443-850-0693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSCAPE ELIZABETH THOMAS MBR",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-18",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-850-0069"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.