EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1063284032
General Practice in Baltimore, MD

Active since October 24, 2023
145 W OSTEND ST STE 600, BALTIMORE, MD 21230(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2025, Nov 17, 2023, Oct 24, 2023 (3 updates tracked since 2023).

About Evernorth Care Providers - Delaware Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1063284032) is a healthcare organization registered as a general practice in Baltimore, Maryland and active in the NPI registry since October 2023. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1063284032
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA
Location Address145 W OSTEND ST STE 600Baltimore, MD 21230-3774
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800
Enumeration DateOctober 24, 2023
Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1063284032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

145 W OSTEND ST STE 600, Baltimore, MD 21230

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
145 W OSTEND ST STE 600
BALTIMORE, MD 21230
Counselor (Professional)
145 W OSTEND ST STE 600
BALTIMORE, MD 21230
Community/Behavioral Health
145 W OSTEND ST STE 600
BALTIMORE, MD 21230
Technician, Pathology (Phlebotomy)
145 W OSTEND ST STE 600
BALTIMORE, MD 21230
Psychologist
145 W OSTEND ST STE 600
BALTIMORE, MD 21230
In Home Supportive Care
145 W OSTEND ST STE 600
BALTIMORE, MD 21230
In Home Supportive Care
145 W OSTEND ST STE 600
BALTIMORE, MD 21230
Internal Medicine (Cardiovascular Disease)
145 W OSTEND ST STE 600
BALTIMORE, MD 21230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Care Providers - Delaware PA's NPI number?

The NPI number for Evernorth Care Providers - Delaware PA is 1063284032. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Evernorth Care Providers - Delaware PA located?

Evernorth Care Providers - Delaware PA is located at 145 W Ostend St Ste 600, Baltimore, MD 21230. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Delaware PA was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.