Individual provider Active NPI

Jonathan Scott Hunn, MD

  • Diagnostic Radiology Physician
  • Elkridge, MD
National Provider Identifier
1972613602
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0056328 Issued in MD
Practice address
6030 Marshalee Dr
Suite #601
Elkridge, MD 21075-5987
Phone
(301) 437-1141
Fax
(410) 796-6583
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0056328 MD Primary
Diagnostic Radiology Physician 2085R0202X MD33017 DC
Diagnostic Radiology Physician 2085R0202X 0101227853 VA

Addresses

Primary practice location

6030 Marshalee Dr
Suite #601
Elkridge, MD 21075-5987

Mailing address

6030 Marshalee Dr
Suite #601
Elkridge, MD 21075-5987
Phone (301) 437-1141

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
I20071114000280 MD Practitioner - Diagnostic Radiology 2365496254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD33017DCMDDiagnostic Radiology Physician
D0056328MDMDDiagnostic Radiology Physician
0101227853VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Sep 24, 2007 Accepting new patients
St Agnes Healthcare Inc Diagnostic Radiology CurrentSince Sep 24, 2007 Accepting new patients

Locations

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3449 Wilkens Ave
#S102
Baltimore, MD 21229
Phone (667) 234-3120

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 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1972613602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 MARSHALEE DR",
            "address_2": "SUITE #601",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755987",
            "telephone_number": "301-437-1141",
            "fax_number": "410-796-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 MARSHALEE DR",
            "address_2": "SUITE #601",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755987",
            "telephone_number": "301-437-1141",
            "fax_number": "410-796-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNN",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0056328",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD33017",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101227853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.