1235272121 NPI number — MR. JOHN HARNEY M.D.

Table of content: MR. JOHN HARNEY M.D. (NPI 1235272121)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235272121 NPI number — MR. JOHN HARNEY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARNEY
Provider First Name:
JOHN
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1235272121
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 ANNAPOLIS RD
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21227-3600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-636-9999
Provider Business Mailing Address Fax Number:
410-636-6152

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4000 ANNAPOLIS RD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21227-3600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-636-9999
Provider Business Practice Location Address Fax Number:
410-636-6152
Provider Enumeration Date:
02/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  D0021716 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 02238011 . This is a "UNITED HEALTHCARE MA" identifier . This identifiers is of the category "OTHER".
  • Identifier: M10796 . This is a "CDS NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: P1024A . This is a "COVENTRY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 07273 . This is a "AMERIGROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 505807 . This is a "US HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: D0021716 . This is a "LICENSE NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: E2600001 . This is a "BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5093453 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1378470R . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 813596 . This is a "MAMSI OPT CHS MDIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000157156 0400181 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: K697HA . This is a "BCBS" identifier . This identifiers is of the category "OTHER".




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