Provider Demographics
NPI:1770518003
Name:JOHNS HOPKINS COMMUNITY PHYSICIANS, INC
Entity type:Organization
Organization Name:JOHNS HOPKINS COMMUNITY PHYSICIANS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAVET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-735-4800
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-5412
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:12916 CONAMAR DR STE 204
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2773
Practice Address - Country:US
Practice Address - Phone:301-791-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7645511Medicaid
MD7645511Medicaid
MDCC1507Medicare ID - Type UnspecifiedMEDICARE RAILROAD