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 State
1	103G00000X	Clinical Neuropsychologist
2	103TC0700X	Clinical Psychologist
3	208100000X	Physical Medicine & Rehabilitation Physician	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	CA7788	OTHER	MD	RRMC

General Provider Information

NPI Number	:	1831195502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNS HOPKINS UNIVERSITY

Provider Business Mailing Address
First Line	:	PO BOX 64407
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10803 FALLS RD
Second Line	:
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-4518
Country	:	US
Telephone Number	:	410-532-4714
Fax Number	:

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	02/27/2025

Similar Medicare Providers

1013072917 — JOHNS HOPKINS UNIVERSITY, PM&R DEPT
Practice Location Address:

10803 FALLS RD
LUTHERVILLE, MD
21093-4518

Practice Phone: 410-532-4714
Practice Fax:

1245790195 — DR. NAKUL SUHAS TALATHI MD
Practice Location Address:

10803 FALLS RD
LUTHERVILLE, MD
21093-4518

Practice Phone: 443-997-3370
Practice Fax:

1972154532 — KYLA KEEFE
Practice Location Address:

10803 FALLS RD
LUTHERVILLE, MD
21093-4518

Practice Phone: 410-583-2666
Practice Fax:

1568349736 — EVAN MATTHEW KING
Practice Location Address:

10803 FALLS RD
LUTHERVILLE, MD
21093-4518

Practice Phone: 443-997-2663
Practice Fax:

1174314900 — DYLAN LECLAIR
Practice Location Address:

10803 FALLS RD
TIMONIUM, MD
21093-4518

Practice Phone: 978-424-5858
Practice Fax:

1851743405 — RACHAEL CROWE DNP, CPNP-AC, FNP-C
Practice Location Address:

1734 YORK RD
LUTHERVILLE, MD
21093-5606

Practice Phone: 410-252-2273
Practice Fax:

Directions to “JOHNS HOPKINS UNIVERSITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.