Active NPI
Sangjin Oh MD PA
- Neurology Physician
- Glen Burnie, MD
National Provider Identifier
1730745159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Glen Burnie, MD
- NPI 1316966179
-
- Family Nurse Practitioner
- Sparks, MD
- NPI 1205419777
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.