NPIMap

Individual provider Active NPI

Holly Ryerson Dahlman, M.D.

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1962464552
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0054653 Issued in MD
Practice address
2360 W Joppa Rd
Green Spring Internal Medicine, LLC - Suite 210
Lutherville, MD 21093-4624
Phone
(410) 583-2890
Fax
(410) 583-2891
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0054653 MD Primary

Addresses

Primary practice location

2360 W Joppa Rd
Green Spring Internal Medicine, LLC - Suite 210
Lutherville, MD 21093-4624

Mailing address

2360 W Joppa Road
Suite 210
Lutherville, MD 21093-4624
Phone (410) 583-2890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000129 MD Practitioner - Internal Medicine 6204830169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Johns Hopkins University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Spring Internal Medicine LLCGroup PAC ID 1951305812, 3 clinicians

Practice addresses (Care Compare)

2360 W Joppa Rd
Suite 210
Lutherville, MD 21093-4664
Phone (410) 583-2890

Hospital & facility affiliations

  • Vna of Maryland Home health agency, Owings Mills, MD, CCN 217008
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054653MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Spring Internal Medicine, LLC Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2360 W Joppa Rd
Ste 210
Timonium, MD 21093
Phone (410) 583-2890

Interoperability endpoints

  • Direct secure messaging: holly.dahlman@greenspringmed.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGJBAA

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1962464552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA ROAD",
            "address_2": "SUITE 210",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934624",
            "telephone_number": "410-583-2890",
            "fax_number": "410-583-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD",
            "address_2": "GREEN SPRING INTERNAL MEDICINE, LLC - SUITE 210",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934624",
            "telephone_number": "410-583-2890",
            "fax_number": "410-583-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLMAN",
        "first_name": "HOLLY",
        "middle_name": "RYERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.