Organization Active NPI

Horizon Infectious Diseases Associates LLC

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1851614317
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0062148 Issued in MD
Legal business name
HORIZON INFECTIOUS DISEASES ASSOCIATES LLC
Practice address
300 Armory PL
Suite 3 I
Baltimore, MD 21201-4603
Phone
(443) 636-6319
Fax
(877) 648-1188
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Gedion Atnafu, M.D.NPI 1326006578
Title
Ceo
Phone
(443) 636-6319

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
Infectious Disease Physician 207RI0200X D0062148 MD Primary

Addresses

Primary practice location

300 Armory PL
Suite 3 I
Baltimore, MD 21201-4603

Mailing address

12701 Truths Promise CT
Bowie, MD 20720-5600
Phone (443) 636-6319

Other identifiers 1

IdentifierTypeStateIssuer
408456000MedicaidMD

National Provider Directory

National Provider Directory

Locations

300 Armory Pl
Ste 3
Baltimore, MD 21201
Phone (410) 650-4100

Practitioners & affiliated clinicians

Practitioners 1

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": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1851614317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 TRUTHS PROMISE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205600",
            "telephone_number": "443-636-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ARMORY PL",
            "address_2": "SUITE 3 I",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014603",
            "telephone_number": "443-636-6319",
            "fax_number": "877-648-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON INFECTIOUS DISEASES ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "ATNAFU",
        "authorized_official_first_name": "GEDION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-636-6319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0062148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408456000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 11, 2010; 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.