Provider Demographics
NPI:1003847195
Name:HASKINS COOK AND O MARA P A
Entity Type:Organization
Organization Name:HASKINS COOK AND O MARA P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:BURKE
Authorized Official - Last Name:HASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-335-0008
Mailing Address - Street 1:10845 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-1717
Mailing Address - Country:US
Mailing Address - Phone:410-335-0008
Mailing Address - Fax:410-335-1133
Practice Address - Street 1:1131 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-5132
Practice Address - Country:US
Practice Address - Phone:410-877-1666
Practice Address - Fax:410-879-9206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCE477OtherCAREFIRST
MDKY58DOtherCAREFIRST
GACH1413OtherRAILROAD MEDICARE
MD976002400Medicaid
GACH1413OtherMEDICARE RAILROAD
MD135LMedicare PIN