JHU KIPP SCHOOL HEALTH CENTER
NPI 1710360110
Pediatrics in Baltimore, MD

NPI Status: Active since July 02, 2015

Contact Information

2000 EDGEWOOD ST
BALTIMORE, MD
ZIP 21216
Phone: (410) 291-2570
Fax: (410) 233-5893

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  • Organization
  • Pediatrics
  • CLIA Number: 21D2095931
  • CLIA Cert. Type: Other - POL
  • CLIA Exp. Date: 05-12-2025

About JHU KIPP SCHOOL HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Jhu Kipp School Health Center, a pediatrician established in Baltimore, Maryland operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1710360110 assigned on July 2015. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Jhu Kipp School Health Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Jhu Kipp School Health Center. The authorized official of this NPI record is Kate Connor (Md)

NPI
1710360110
Provider Legal Name
JOHNS HOPKINS UNIVERSITY
Other Organization Name
JHU KIPP SCHOOL HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2000 EDGEWOOD ST BALTIMORE, MD 21216
Location Phone
(410) 291-2570
Location Fax
(410) 233-5893
Mailing Address
2000 EDGEWOOD ST BALTIMORE, MD 21216
Mailing Phone
(410) 291-2570
Mailing Fax
(410) 233-5893
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-02-2015
Last Update Date
07-16-2019
Code Navigator

A pediatrician like Jhu Kipp School Health Center is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License State
MD
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATE CONNOR

Authorized Official Title
MD
Authorized Official Phone
(443) 615-2132

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
21D2095931
Facility Type
Other - POL
Certificate Effective Date
May 13, 2023
Certificate Expiration Date
May 12, 2025
Laboratory Director
KATHERINE A. CONNOR
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Jhu Kipp School Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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.
1710360110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272066012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 0 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710360110 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

MRS. TAMARA T PETRIDES PNP

Nurse Practitioner

(Pediatrics)

2000 EDGEWOOD ST
BALTIMORE, MD
ZIP 21216

(410) 396-0737

LAURIE SCUDDER MS, NP

Nurse Practitioner

(Pediatrics)

2000 EDGEWOOD ST
WALBROOK HIGH SCHOOL BASED HEALTH CENTER
BALTIMORE, MD
ZIP 21216

(410) 396-0737

VINEETA LOWELL PORTER LCSW-C

Social Worker

(Clinical)

2000 EDGEWOOD ST
BALTIMORE, MD
ZIP 21216

(410) 396-0775

TRESA MARIE SCHUMANN WIGGINS CPNP-PC

Nurse Practitioner

(Pediatrics)

2000 EDGEWOOD ST
BALTIMORE, MD
ZIP 21216

(410) 291-2570

MRS. ALEGA MARIE PENN

Psychologist

2000 EDGEWOOD ST
BALTIMORE, MD
ZIP 21216

(443) 927-4147

MRS. AMY MYERS

Psychologist

(School)

2000 EDGEWOOD ST
BALTIMORE, MD
ZIP 21216

(410) 291-2587

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710360110, enumerated as an "organization" on July 02, 2015.

The provider is located at 2000 EDGEWOOD ST BALTIMORE, MD 21216 and the phone number is (410) 291-2570.

Pediatrics with taxonomy code 208000000X.