Individual provider Active NPI

Julie Tinney, M.D.

  • Family Medicine Physician
  • Bel Air, MD
National Provider Identifier
1902801541
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D53186 Issued in MD
Practice address
754 N Hickory Ave
Ste C
Bel Air, MD 21014-3042
Phone
(410) 803-0578
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D53186 MD Primary

Addresses

Primary practice location

754 N Hickory Ave
Ste C
Bel Air, MD 21014-3042

Mailing address

754 N Hickory Ave
Ste C
Bel Air, MD 21014-3042
Phone (410) 638-8991

Other identifiers 1

IdentifierTypeStateIssuer
404802400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103001172 MD Order and Referring Only - Family PracticePractitioner - Family Practice 5193772093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D53186MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Think LLC CurrentSince Oct 16, 2019 Accepting new patients
Harford Primary Care LLC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

754 N Hickory Ave
Ste C
Bel Air, MD 21014
Phone (410) 329-4818

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1902801541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 N HICKORY AVE",
            "address_2": "STE C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143042",
            "telephone_number": "410-638-8991",
            "fax_number": "443-356-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N HICKORY AVE",
            "address_2": "STE C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143042",
            "telephone_number": "410-803-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNEY",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D53186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404802400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.