MEDICARE: JOHNS HOPKINS UNIVERSITY

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1326502329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNS HOPKINS UNIVERSITY

Provider Business Mailing Address
First Line	:	PO BOX 64664
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4664
Country	:	US
Telephone Number	:	410-933-5313
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 ANNAPOLIS RD STE 280
Second Line	:
City	:	ODENTON
State	:	MD
Zip	:	21113-1743
Country	:	US
Telephone Number	:	410-689-9846
Fax Number	:

Authorized Official
Title or Position	:	SR PRODUCTION UNIT MGR
Name	:	SHAVONDA L KEATING
Credential	:
Telephone Number	:	410-933-6430

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	03/07/2021

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Directions to “JOHNS HOPKINS UNIVERSITY ” Practice Location

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