PARK HEIGHTS MEDICAL CLINIC LLC
NPI 1639101462
Family Medicine in Baltimore, MD
NPI Status: Active since July 06, 2006
Contact Information
4340 PARK HEIGHTS AVE
BALTIMORE, MD
ZIP 21215
Phone: (410) 542-8130
Fax: (410) 542-1826
- Organization
- Family Medicine
- CLIA Number: 21D2198050
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-28-2026
About PARK HEIGHTS MEDICAL CLINIC LLC
This page provides the complete NPI Profile along with additional information for Park Heights Medical Clinic Llc, a primary care provider established in Baltimore, Maryland operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1639101462 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1639101462
- Provider Legal Name
- PARK HEIGHTS MEDICAL CLINIC LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215
- Location Phone
- (410) 542-8130
- Location Fax
- (410) 542-1826
- Mailing Address
- 5010 YORK RD BALTIMORE, MD 21212
- Mailing Phone
- (410) 433-2200
- Mailing Fax
- (410) 542-1826
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-06-2006
- Last Update Date
- 05-05-2025
- Code Navigator
A primary care provider (PCP) like Park Heights Medical Clinic Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 069231000 | MEDICAID (05) | MD | |
| K614PA | OTHER (01) | MD | BLUECROSS/BLUESHEILD MD |
| 1347 | OTHER (01) | MD | JAI MEDICAL SYSTEM MCO |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2198050
- Facility Type
- Physician Office
- Certificate Effective Date
- October 29, 2024
- Certificate Expiration Date
- October 28, 2026
- Laboratory Director
- TERI RICHARDSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park Heights Medical Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PARK HEIGHTS MEDICAL CLINIC LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 0 | 1 | 4 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 0 | 2 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 0 + 2 + 4 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1639101462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649200320 | MRS. NALAYINI SIVARAMAN M.D. Individual | Internal Medicine | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1184659088 | TERI RICHARDSON Individual | Internal Medicine | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1568638153 | DR. MARY ANN YUNG M.D Individual | Internal Medicine | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1386674018 | FRANCES BIRD M.D Individual | Pediatrics | 4340 PARK HEIGHTS AVE JAI MEDICAL CENTER BALTIMORE, MD 21215 (410) 542-8130 |
| 1710297551 | JENNA HOUSE EVERETT P.A. Individual | Physician Assistant | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1699147207 | MRS. JASMINE C TURNER PA-C Individual | Physician Assistant (Medical) | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1306293063 | JAI MEDICAL CENTER Organization | Nurse Practitioner (Family) | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1568641561 | OYEBUKOLA A OYEDIRAN MD Individual | Pediatrics | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1629585260 | MRS. CHRISTINA DENISE FOREMAN CRNP Individual | Nurse Practitioner (Family) | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1386671139 | DR. MARIA MOYER M.D. Individual | Internal Medicine | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1467916148 | STACY REEVES HOENES NP-C Individual | Nurse Practitioner (Primary Care) | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1326739319 | TIFFANY H ANDERSON PA-C Individual | Physician Assistant | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1720769359 | NASTASSJA CRAWFORD CPNP-PC Individual | Nurse Practitioner (Pediatrics) | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (901) 361-9341 |
| 1821612466 | MUSA MUSA MIVANYI Individual | Pediatrics | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
| 1518407451 | IBIYINKA WINDAPO FNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4340 PARK HEIGHTS AVE BALTIMORE, MD 21215 (410) 542-8130 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639101462, enumerated in the NPI registry as an "organization" on July 06, 2006
The provider is located at 4340 Park Heights Ave Baltimore, Md 21215 and the phone number is (410) 542-8130
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 21D2198050 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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