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JOHNNY CARES INC NPI 1003293218


NPI Information

NPI: 1003293218
Provider Name: JOHNNY CARES, INC

Doing Business As: MEDHEALTH @ WAVERLY

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3028 GREENMOUNT AVE
BALTIMORE, MD
ZIP 21218
Phone: (410) 467-6040
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JOHNNY CARES, INC is a family nurse practitioner in Baltimore, MD. JOHNNY CARES, INC NPI is 1003293218. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medhealth @ Waverly.

The provider's business location address is:

3028 GREENMOUNT AVE
BALTIMORE, MD
ZIP 21218-938
Phone: (410) 467-6040
Fax: (410) 467-5944

The provider's authorized official is William Green .
The authorized official title is Ceo and has the following contact phone number (410) 467-6040.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 4/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3122300000XDentistNo
4124Q00000XDental HygienistNo
5126800000XDental AssistantNo
6363A00000XPhysician AssistantNo
7363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.