NPIMap

Organization Active NPI

Total ENT Care LLC

  • Otolaryngology Physician
  • Baltimore, MD
National Provider Identifier
1790195485
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D57335 Issued in MD
Legal business name
TOTAL ENT CARE LLC
Practice address
733 W 40TH Street
Suite 20
Baltimore, MD 21211-2107
Phone
(410) 889-0795
Fax
(877) 766-8925
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Han G. Sohn, MDNPI 1811916570
Title
Owner
Phone
(410) 889-0795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X D57335 MD Primary

Addresses

Primary practice location

733 W 40TH Street
Suite 20
Baltimore, MD 21211-2107

Mailing address

2329 Willow Vale Dr
Fallston, MD 21047-1504
Phone (410) 889-0795

Other practice location 1

750 Main St Ste 205
Reisterstown, MD 21136-2516
Phone (410) 889-0795

Other practice location 2

1220A E Joppa Rd Ste 230D
Towson, MD 21286-5812
Phone (410) 889-0795

Other practice location 3

2227 Old Emmorton Rd Ste 114
Bel Air, MD 21015-6190
Phone (410) 889-0795

Other identifiers 1

IdentifierTypeStateIssuer
402587300MedicaidMD

Other names 1

  • Total ENT Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140820002370 MD Part B Supplier - Clinic/Group Practice 0042438814 Receives reassigned benefits from 5 practitioners
Practice locations: Reisterstown, MD; Towson, MD; Bel Air, MD; Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Total ENT Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

733 W 40th St
Ste 20
Baltimore, MD 21211
Phone (410) 877-0795

1220A E Joppa Rd
Ste 230D
Towson, MD 21286
Phone (410) 299-1388

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1790195485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 WILLOW VALE DR",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210471504",
            "telephone_number": "410-889-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 W 40TH STREET",
            "address_2": "SUITE 20",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112107",
            "telephone_number": "410-889-0795",
            "fax_number": "877-766-8925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Main St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211362516",
            "country_code": "US",
            "telephone_number": "410-889-0795",
            "fax_number": "877-766-8925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220A E Joppa Rd Ste 230D",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212865812",
            "country_code": "US",
            "telephone_number": "410-889-0795",
            "fax_number": "877-766-0795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2227 Old Emmorton Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156190",
            "country_code": "US",
            "telephone_number": "410-889-0795",
            "fax_number": "877-766-8925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL ENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-889-0795",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D57335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402587300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total ENT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Total ENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 13, 2024; 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.