DR. JOHN S. GOTTDIENER M.D. NPI 1003865494

NPI Information

NPI: 1003865494
Provider Name: DR. JOHN S. GOTTDIENER, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
22 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-5196
Get Directions

DR. John S. Gottdiener, M.D. is a cardiovascular disease internal medicine in Baltimore, MD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. John S. Gottdiener, M.D. NPI is 1003865494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22 S GREENE ST
BALTIMORE, MD
ZIP 21201-544
Phone: (410) 328-5196
Fax: (410) 328-0248

The NPI 1003865494 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 6/4/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	D27798	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B67100	MEDICARE UPIN
2	1003865494	MEDICAID	DELAWARE
3	I264	MEDICARE PIN	MARYLAND
4	354362-01	OTHER	MARYLAND	BLUE CROSS/BLUE SHIELD
5	3810001953	MEDICAID	WEST VIRGINIA
6	208101601	MEDICAID	MARYLAND
7	039499200	MEDICAID	DISTRICT OF COLUMBIA
8	P00138907	MEDICARE PIN	MARYLAND

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

NPI Synchronization or Removal

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