Organization Active NPI

Humanim Inpatient and Outpatient

  • Clinical Neurophysiology Physician
  • Columbia, MD
National Provider Identifier
1790700300
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
HUMANIM INPATIENT AND OUTPATIENT
Practice address
5755 Cedar LN
Columbia, MD 21044-2912
Phone
(410) 381-7171
Fax
(410) 381-5137
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Gale Britton
Title
Dir of Billing
Phone
(410) 381-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

5755 Cedar LN
Columbia, MD 21044-2912

Mailing address

6355 Woodside CT
Columbia, MD 21046-1071
Phone (410) 381-7171

Other identifiers 1

IdentifierTypeStateIssuer
ZZWJHUOtherMDCAREFIRST

National Provider Directory

National Provider Directory

Locations

6355 Woodside Ct
Columbia, MD 21046
Phone (410) 381-7171

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1790700300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WOODSIDE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461071",
            "telephone_number": "410-381-7171",
            "fax_number": "410-381-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442912",
            "telephone_number": "410-381-7171",
            "fax_number": "410-381-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANIM INPATIENT AND OUTPATIENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "DIR OF BILLING",
        "authorized_official_telephone_number": "410-381-7171"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "ZZWJHU",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.