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DR. JONATHAN FORMAN M.D.
NPI 1861493926
Family Medicine in Glen Burnie, MD

Active since August 10, 2005
89.42/100
CMS Quality Rating
7711 QUARTERFIELD RD, SUITE A, GLEN BURNIE, MD 21061(410) 761-5600(410) 761-5734 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan Forman M.d. NPPES

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

DR. JONATHAN FORMAN M.D. (NPI 1861493926) is an individual family medicine provider in Glen Burnie, Maryland, licensed in Maryland (D0023811) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1861493926
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JONATHAN FORMANCredential: M.D.
Location Address7711 QUARTERFIELD RD, SUITE AGlen Burnie, MD 21061-4492
Mailing Address1111 Benfield Blvd, Suite 200Millersville, MD 21108-3002 · (410) 729-5100 · Fax (410) 729-5156
Phone(410) 761-5600
Fax(410) 761-5734
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateJanuary 24, 2011
✔ NPI 1861493926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0023811
Definition
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.
7711 QUARTERFIELD RD, Glen Burnie, MD 21061
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Other Identifiers 13

Other1275295MD · Cigna Pin
Other8162106MD · Mamsi Primary Care
Other80089724MD · Rr Medicare
Other350121-03MD · Carefirst Md Rendering
OtherP12535MD · Carefirst Md Pos
Medicare UPIND71520
Other7605-0008MD · Carefirst Bluechoice
Other4304227MD · Aetna Fee For Service
Medicare PIN226L359SMD
Other015650MD · Jhhc Provider Number
Medicaid766371400MD
Other0696514MD · Aetna Capitated
Other2162106MD · Mamsi Specialist

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.38
Promoting Interoperability100
Improvement Activities40
Cost76.36

Other Providers at the Same Location NPPES 8

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

MR. MANUEL SKOW P.A.
Physician Assistant
7711 QUARTERFIELD RD, SUITE A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-5560
MRS. PHNONIA RAQUEL ROJAS P.A.
Physician Assistant
7711 QUARTERFIELD RD, SUITE A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-5600
DR. SABITA SHARMA M.D.
Family Medicine
7711 QUARTERFIELD RD, SUITE A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-5600
MS. FAITH HAWLEY HOWARTH C.R.N.P
Nurse Practitioner (Adult Health)
7711 QUARTERFIELD RD, SUITE A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-5600
ALEXANDRA GEORGIOU HOLT DPT
Physical Therapist
7711 QUARTERFIELD RD, STE C2
GLEN BURNIE, MD 21061
Anne Arundel County (410) 487-6447
PAUL R. MILLER DDS & ASSOCIATES PA
Dentist (General Practice)
7711 QUARTERFIELD RD, SUITE C-1
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-4445
DR. NEIL E. PADGETT M.D.
Internal Medicine
7711 QUARTERFIELD RD, SUITE A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-5600
MS. LLYERN L. BARTHOLOMEW C.R.N.P.
Nurse Practitioner (Family)
7711 QUARTERFIELD RD, SUITE A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-5600

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 Jonathan Forman's NPI number?

The NPI number for Jonathan Forman is 1861493926. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Jonathan Forman located?

Jonathan Forman practices at 7711 Quarterfield Rd Suite A, Glen Burnie, MD 21061. The listed phone number is (410) 761-5600.

What is Jonathan Forman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Forman was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.