Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - DERMATOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNS HOPKINS UNIVERSITY
Authorized official
SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
(410) 933-6430
Entity
Organization
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 933-1169
Mailing address
PO BOX 64252, BALTIMORE, MD 21264-4252
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MD
207ND0101X
MOHS-Micrographic Surgery Physician
—
MD
207NP0225X
Pediatric Dermatology Physician
—
MD
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080145257
—
DC
05
—
795731900
—
MD
01
—
CA4935
RRMC
MD
Enumeration date
06/27/2005
Last updated
01/09/2026
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