NPIMap

Organization Active NPI

Maryland Health One, Inc.

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1952529398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARYLAND HEALTH ONE, INC.
Practice address
1 E Chase St
200
Baltimore, MD 21202-2526
Phone
(410) 528-1182
Fax
(410) 528-1185
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Caridad A Dela Cruz
Title
President
Phone
(410) 528-1182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1 E Chase St
200
Baltimore, MD 21202-2526

Mailing address

1 E Chase St
200
Baltimore, MD 21202-2526
Phone (410) 528-1182

Other identifiers 2

IdentifierTypeStateIssuer
041950OtherMDUNITED HEALTH CARE
67237OtherMDAMERIGROUP

National Provider Directory

National Provider Directory

Locations

1 E Chase St
Ste 200
Baltimore, MD 21202
Phone (410) 528-1182

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952529398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CHASE ST",
            "address_2": "200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022526",
            "telephone_number": "410-528-1182",
            "fax_number": "410-528-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CHASE ST",
            "address_2": "200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022526",
            "telephone_number": "410-528-1182",
            "fax_number": "410-528-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HEALTH ONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-528-1182",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "041950",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "67237",
            "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 Aug 22, 2020; 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.