Organization Active NPI

Sangjin Oh MD PA

  • Neurology Physician
  • Glen Burnie, MD
National Provider Identifier
1730745159
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SANGJIN OH MD PA
Practice address
1412 Crain Hwy N Ste 6a
Glen Burnie, MD 21061-7000
Phone
(410) 761-3900
Fax
(410) 761-4500
NPI assigned
May 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Hillary Wilson
Title
Nurse
Phone
(410) 761-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1412 Crain Hwy N Ste 6a
Glen Burnie, MD 21061-7000

Mailing address

1412 Crain Hwy N Ste 6a
Glen Burnie, MD 21061-7000
Phone (410) 761-3900

Other names 1

  • Maryland Center for Neurology and Sleep Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190605002743 MD Part B Supplier - Clinic/Group Practice 0446583413 Receives reassigned benefits from 3 practitioners
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1730745159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 CRAIN HWY N STE 6A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210617000",
            "telephone_number": "410-761-3900",
            "fax_number": "410-761-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 CRAIN HWY N STE 6A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210617000",
            "telephone_number": "410-761-3900",
            "fax_number": "410-761-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGJIN OH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "410-761-3900"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Center for Neurology and Sleep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.