MEDICARE: ONE HEART LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	D0037343	MD

General Provider Information

NPI Number	:	1194930115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE HEART LLC

Provider Business Mailing Address
First Line	:	PO BOX 1125
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-0125
Country	:	US
Telephone Number	:	410-964-2872
Fax Number	:

Provider Business Practice Location Address
First Line	:	2764 VARDON LN
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-2582
Country	:	US
Telephone Number	:	410-964-2872
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	DR. ATHOL W MORGAN
Credential	:	MD
Telephone Number	:	443-996-1133

Provider Enumeration Date	:	05/12/2007
Last Update Date	:	11/15/2021

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Directions to “ONE HEART LLC ” Practice Location

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