Organization Active NPI

Maryland Holistic Healthcare, P.C.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1932376100
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0061034 Issued in MD
Legal business name
MARYLAND HOLISTIC HEALTHCARE, P.C.
Practice address
5115 Liberty Heights Ave
Baltimore, MD 21207-7056
Phone
(301) 560-1750
Fax
(301) 560-6322
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Dr. Pamela Jocelyn Adrienne Heath, D.O.
Title
Director
Phone
(301) 300-8461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H0061034 MD Primary

Addresses

Primary practice location

5115 Liberty Heights Ave
Baltimore, MD 21207-7056

Mailing address

10307 W Broad St
Suite 304
Glen Allen, VA 23060-6716
Phone (301) 560-1750

National Provider Directory

National Provider Directory

Locations

10307 W Broad St
Glen Allen, VA 23060
Phone (804) 386-4109

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1932376100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10307 W BROAD ST",
            "address_2": "SUITE 304",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606716",
            "telephone_number": "301-560-1750",
            "fax_number": "301-560-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077056",
            "telephone_number": "301-560-1750",
            "fax_number": "301-560-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HOLISTIC HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JOCELYN ADRIENNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-300-8461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0061034",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 19, 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.