1528541695 NPI number — JOHNS HOPKINS REGIONAL PHYSICIANS LLC

Table of content: SCOTT C. GAERTE M.D. (NPI 1952378531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528541695 NPI number — JOHNS HOPKINS REGIONAL PHYSICIANS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHNS HOPKINS REGIONAL PHYSICIANS 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:
6
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:
1528541695
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 412709
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02241-2709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-760-8840
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2850 N RIDGE RD STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELLICOTT CITY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21043-3396
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-418-8550
Provider Business Practice Location Address Fax Number:
410-418-8552
Provider Enumeration Date:
09/13/2018

Additional Information

Authorized Official

Authorized Official Last Name:
MARTUCCI
Authorized Official First Name:
KRISTI
Authorized Official Middle Name:
Authorized Official Title or Position:
JHRP BILLING ADMINISTRATOR
Authorized Official Telephone Number:
410-760-8840

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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