Healthcare Provider Details

I. General information

NPI: 1790654416
Provider Name (Legal Business Name): JOHNS HOPKINS REGIONAL PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 N RIDGE RD STE 102
ELLICOTT CITY MD
21043-3396
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-418-8550
  • Fax:
Mailing address:
  • Phone: 410-933-0000
  • Fax: 400-500-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS GIARRATANO
Title or Position: DIRECTOR, PROVIDER ENROLLMENT
Credential:
Phone: 410-933-0000