Organization Active NPI

Center for Occupational and Environmental Neurology

  • Neurology Physician
  • Balto, MD
National Provider Identifier
1912929639
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D23424 Issued in MD
Legal business name
CENTER FOR OCCUPATIONAL AND ENVIRONMENTAL NEUROLOGY
Practice address
2 Hamill Rd
Suite 225
Balto, MD 21210-1815
Phone
(413) 433-2077
Fax
(410) 433-0622
NPI assigned
Jul 24, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Marcie L Huffman
Title
Administrator
Phone
(410) 433-2077

National Provider Directory

National Provider Directory

Locations

2 Hamill Rd
Ste 225
Baltimore, MD 21210
Phone (410) 433-2077

3901 Greenspring Ave
Ste 101
Baltimore, MD 21211
Phone (410) 480-9636

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X D23424 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Hamill Rd
Suite 225
Balto, MD 21210-1815

Mailing address

2 Hamill Rd
Suite 225
Balto, MD 21210-1815
Phone (413) 433-2077

Other identifiers 12

NPPES NPI Registry
IdentifierTypeStateIssuer
T4310002OtherBLUECHOICE
T4310002OtherFEDERAL
11850OtherJOHNS HOPKINS EMPLOYEE HE
30396001OtherCAREFIRST BLUECROSS BLUES
T4310001OtherMDCAREFIRST FEDERAL
2227527OtherAETNA HMO
328941901MedicaidMD
240256OtherMDMAMSI
4138503 NON HMOOtherMDAETNA
0865690006OtherCIGNA
748305-29OtherMDCAREFIRST BLUECROSS BLUESHIELD
T4310001OtherMDBLUECHOICE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2008.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1912929639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD",
            "address_2": "SUITE 225",
            "city": "BALTO",
            "state": "MD",
            "postal_code": "212101815",
            "telephone_number": "413-433-2077",
            "fax_number": "410-433-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD",
            "address_2": "SUITE 225",
            "city": "BALTO",
            "state": "MD",
            "postal_code": "212101815",
            "telephone_number": "413-433-2077",
            "fax_number": "410-433-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR OCCUPATIONAL AND ENVIRONMENTAL NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-433-2077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D23424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "T4310002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL",
            "identifier": "T4310002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS EMPLOYEE HE",
            "identifier": "11850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUES",
            "identifier": "30396001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST FEDERAL",
            "identifier": "T4310001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2227527",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328941901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "240256",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4138503 NON HMO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0865690006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "748305-29",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "T4310001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Balto, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.