NPIMap

Organization Active NPI

Signature Healthcare Inc.

  • Oxygen Equipment & Supplies (DME)
  • Hunt Valley, MD
National Provider Identifier
1770578080
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
R1076 Issued in MD
Legal business name
SIGNATURE HEALTHCARE INC.
Doing business as
Signature Healthcare
Practice address
10943 McCormick Rd
Hunt Valley, MD 21031-1401
Phone
(410) 771-0404
Fax
(410) 771-0010
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Michael John Mayfield
Title
Vice President, Operations
Phone
(410) 771-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X R1076 MD Primary

Addresses

Primary practice location

10943 McCormick Rd
Hunt Valley, MD 21031-1401

Mailing address

10943 McCormick Rd
Hunt Valley, MD 21031-1401
Phone (410) 771-0404

Other identifiers 7

IdentifierTypeStateIssuer
211310OtherPABCBS HIGHMARK PA PROV #
80709OtherMDNORTHWOOD NPN PROV #
009440400MedicaidMD
MH61OtherMDCAREFIRST BCBS MD PROV #
F6050001OtherMDCAREFIRST FEDERAL PROV #
60412702OtherMDCAREFIRST BCBS MD PROV #
94996OtherMDAMERICAID PROVIDER NUMBER

Other names 1

  • Signature Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

10943 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 771-0404

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1770578080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10943 MCCORMICK RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311401",
            "telephone_number": "410-771-0404",
            "fax_number": "410-771-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10943 MCCORMICK RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311401",
            "telephone_number": "410-771-0404",
            "fax_number": "410-771-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT, OPERATIONS",
        "authorized_official_telephone_number": "410-771-0404"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MD",
            "license": "R1076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HIGHMARK PA  PROV #",
            "identifier": "211310",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD NPN PROV #",
            "identifier": "80709",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009440400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MD PROV #",
            "identifier": "MH61",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST  FEDERAL PROV #",
            "identifier": "F6050001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MD PROV #",
            "identifier": "60412702",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID PROVIDER NUMBER",
            "identifier": "94996",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.