Healthcare Provider Details

I. General information

NPI: 1720665417
Provider Name (Legal Business Name): JOHN HOPEWELL HEBB III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6569 N CHARLES ST STE 501
BALTIMORE MD
21204-5808
US

IV. Provider business mailing address

5801 POSTAL RD UNIT 81310
CLEVELAND OH
44181-2112
US

V. Phone/Fax

Practice location:
  • Phone: 410-938-8960
  • Fax: 410-583-9770
Mailing address:
  • Phone: 301-340-8339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0106970
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: