Active NPI
Chesapeake Oncology Hematology Assoc
- Oncology Clinic/Center
- Glen Burnie, MD
National Provider Identifier
1821065079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- Legal business name
- CHESAPEAKE ONCOLOGY HEMATOLOGY ASSOC
- Practice address
- 305 Hospital Dr
Glen Burnie, MD 21061-5805 - Phone
- (410) 761-9896
- Fax
- (411) 761-2250
- NPI assigned
- Mar 7, 2006
- Last updated
- Mar 19, 2026
- 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
- Latanya Renette Moore
- Title
- Practice Manager
- Phone
- (410) 761-9896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinic/Center | 261QX0200X | NU | Primary |
Addresses
Primary practice location
305 Hospital Dr
Glen Burnie, MD 21061-5805
Mailing address
305 Hospital Dr
Glen Burnie, MD 21061-5805
Phone (410) 761-9896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210121100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1600 Crain Hwy S
Ste 602
Glen Burnie, MD 21061
Phone (410) 761-9897
3400 Barry Paul Rd
#S6
Randallstown, MD 21133
Phone (410) 521-0200
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Hematology & Oncology Physician
- Annapolis, MD
- NPI 1730161878
-
- Hematology & Oncology Physician
- Glen Burnie, MD
- NPI 1801356431
-
- Hematology & Oncology Physician
- Glen Burnie, MD
- NPI 1891762019
-
- Hematology & Oncology Physician
- Glen Burnie, MD
- NPI 1770550998
-
- Hematology & Oncology Physician
- Glen Burnie, MD
- NPI 1548689458
-
- Hematology & Oncology Physician
- Baltimore, MD
- NPI 1063489235
-
- Hematology & Oncology Physician
- Glen Burnie, MD
- NPI 1871561662
-
- Family Nurse Practitioner
- Glen Burnie, MD
- NPI 1881202406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1821065079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615805",
"telephone_number": "410-761-9896",
"fax_number": "410-761-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615805",
"telephone_number": "410-761-9896",
"fax_number": "411-761-2250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE ONCOLOGY HEMATOLOGY ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "LATANYA",
"authorized_official_middle_name": "RENETTE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "410-761-9896"
},
"taxonomies": [
{
"code": "261QX0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210121100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
- Chesapeake Center for Youth Development (The Peak)
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Medical Associates, P.a.
- Chesapeake Open MRI L L C (Chesapeake Medical Imaging)
- Chesapeake Orthopaedic and Sports Medicine Center PA
- Chesapeake Urology Associates P.a.
- Chesapeake Urology Associates, LLC (Chesapeake Oncology Hematology Associates, PA)
- Chesapeake Urology Associates, LLC (Chesapeake Oncology Hematology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.