1801829932 NPI number — RHEUMATOLOGY ASSOCIATES OF BALTIMORE LLC

Table of content: (NPI 1801829932)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801829932 NPI number — RHEUMATOLOGY ASSOCIATES OF BALTIMORE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RHEUMATOLOGY ASSOCIATES OF BALTIMORE LLC
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:
1801829932
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1220B E JOPPA RD
Provider Second Line Business Mailing Address:
SUITE 310
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21286-5813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-494-1888
Provider Business Mailing Address Fax Number:
410-494-1008

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1220B E JOPPA RD
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21286-5813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-494-1888
Provider Business Practice Location Address Fax Number:
410-494-1008
Provider Enumeration Date:
07/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HAUPTMAN
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
WARREN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-494-1888

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 40895 . This is a "MAMSI (ALL PLANS)" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 4710055008 . This is a "CIGNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: F597 . This is a "BLUESHIELD FEDERAL PROGRA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: KAX8RH . This is a "CAREFIRST BCBS MD GROUP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 804641 . This is a "EMPLOYEE HLTH PLAN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: CJ7032 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: F597 . This is a "CAREFIRST BCBS NCA GROUP#" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2468 . This is a "ELDERHEALTH HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2703393 . This is a "AETNA HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 7109318 . This is a "AETNA PPO/MGD CARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 3200015 . This is a "UNITED HC MIDATLANTIC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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