Organization
JOHNS HOPKINS UNIVERSITY
Active
Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - SURGERY/PODIATRIST
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
601 N CAROLINE ST FL 8, BALTIMORE, MD 21287-0006
(410) 955-9441
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
MD
213EP1101X
Primary Podiatric Medicine Podiatrist
—
MD
213ES0000X
Sports Medicine Podiatrist
—
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
—
MD
213ES0131X
Foot Surgery Podiatrist
Primary
520595510
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
809803400
—
MD
Enumeration date
11/02/2016
Last updated
05/07/2025
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