Organization Active NPI

Chesapeake Oncology Hematology Assoc

  • Oncology Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1821065079
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
210121100MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000677 MD Part B Supplier - Clinic/Group Practice 6901837160 Receives reassigned benefits from 8 practitioners
Practice locations: Annapolis, MD; Columbia, MD; Glen Burnie, MD; Stevensville, MD

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.