Provider Demographics
NPI:1730841628
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:02241-3276
Mailing Address - Country:US
Mailing Address - Phone:410-760-8840
Mailing Address - Fax:
Practice Address - Street 1:10805 HICKORY RIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3612
Practice Address - Country:US
Practice Address - Phone:410-884-0191
Practice Address - Fax:410-997-2607
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-08
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Multi-Specialty