Provider Demographics
NPI:1396253555
Name:JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Entity type:Organization
Organization Name:JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:JHRP BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-760-8840
Mailing Address - Street 1:PO BOX 412709
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2709
Mailing Address - Country:US
Mailing Address - Phone:410-760-8840
Mailing Address - Fax:410-367-2464
Practice Address - Street 1:802 LANDMARK DR STE 120
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-9121
Practice Address - Country:US
Practice Address - Phone:410-760-8840
Practice Address - Fax:410-760-8847
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-22
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty