# JOHNS HOPKINS REGIONAL PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHNS HOPKINS REGIONAL PHYSICIANS LLC
- **Other names:** ENTAA Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396253555
- **Legal business name:** JOHNS HOPKINS REGIONAL PHYSICIANS LLC
- **Authorized official:** KRISTI MARTUCCI (JHRP BILLING ADMINISTRATOR)
- **Authorized official phone:** (410) 760-8840

## Contact information

- **Practice address:** 802 LANDMARK DR STE 120, GLEN BURNIE, MD 21061-9121
- **Practice address phone:** (410) 760-8840
- **Practice address fax:** (410) 760-8847
- **Mailing address:** PO BOX 412709, BOSTON, MA 02241-2709
- **Mailing address phone:** (410) 760-8840
- **Mailing address fax:** (410) 367-2464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/22/2018
- **Last updated:** 03/20/2024