Provider Demographics
| NPI: | 1487405205 |
|---|---|
| Name: | JOHNS HOPKINS UNIVERSITY |
| Entity type: | Organization |
| Organization Name: | JOHNS HOPKINS UNIVERSITY |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | AUTHORIZED OFFICIAL |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | NICHOLAS |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | GIARRATANO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 410-931-6247 |
| Mailing Address - Street 1: | 6201 GREENLEIGH AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MIDDLE RIVER |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 21220-2004 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 410-933-6423 |
| Mailing Address - Fax: | 410-500-4266 |
| Practice Address - Street 1: | 10753 FALLS ROAD |
| Practice Address - Street 2: | PAVILION II, SUITE 325 |
| Practice Address - City: | LUTHERVILLE |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 21093-4598 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 410-583-2774 |
| Practice Address - Fax: | 410-583-2883 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-03-29 |
| Last Update Date: | 2024-03-29 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RB0002X | Allopathic & Osteopathic Physicians | Internal Medicine | Obesity Medicine | Group - Multi-Specialty |