1437613163 NPI number — JOHNS HOPKINS UNIVERSITY

Table of content: (NPI 1437613163)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437613163 NPI number — JOHNS HOPKINS UNIVERSITY

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
JOHNS HOPKINS UNIVERSITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437613163
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 64264
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21264-4264
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-550-0931
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5210 EASTERN AVENUE
Provider Second Line Business Practice Location Address:
ALPHA CENTER
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-550-0931
Provider Business Practice Location Address Fax Number:
410-550-2513
Provider Enumeration Date:
01/28/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MULDERRIG
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
FRANCIS
Authorized Official Title or Position:
AUTHORIZED OFFICIAL
Authorized Official Telephone Number:
410-931-6247

Provider Taxonomy Codes

  • Taxonomy code: 207RG0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)