Provider Demographics
NPI:1780685073
Name:HARMS, JAMIE LYNNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LYNNE
Last Name:HARMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3002
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:410-729-5156
Practice Address - Street 1:125 SHOREWAY DR
Practice Address - Street 2:SUITE 120
Practice Address - City:QUEENSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21658-1666
Practice Address - Country:US
Practice Address - Phone:410-827-4001
Practice Address - Fax:410-827-4333
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD41339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP11955OtherCAREFIRST MPOS
MD0100065OtherAETNA CAPITATED
MD235430OtherMAMSI SPECIALIST
MD760391600Medicaid
MD7605-0019OtherCAREFIRST BLUECHOICE
MD1199485OtherCIGNA PIN
MD017500OtherJHHC PROVIDER NUMBER
MD835430OtherMAMSI PRIMARY CARE
MD4567833OtherAETNA FEE FOR SERVICE
MD80083133OtherRR MEDICARE
MD525795-10OtherCAREFIRST MD RENDERING
MD1199485OtherCIGNA PIN
MD835430OtherMAMSI PRIMARY CARE
MDP11955OtherCAREFIRST MPOS