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ETHOS HEALTH MARYLAND 4, LLC
NPI 1912542192
Clinic/Center - Health Service in Glen Burnie, MD

Active since November 12, 2019
1411 MADISON PARK DR, GLEN BURNIE, MD 21061(352) 732-5590(352) 732-0292 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2021, Nov 12, 2019 (2 updates tracked since 2019).

About Ethos Health Maryland 4, Llc NPPES

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

ETHOS HEALTH MARYLAND 4, LLC (NPI 1912542192) is a healthcare organization registered as a health service in Glen Burnie, Maryland and active in the NPI registry since November 2019. The organization lists Jonathan Ray Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1912542192
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameETHOS HEALTH MARYLAND 4, LLC
Location Address1411 MADISON PARK DRGlen Burnie, MD 21061-6185
Mailing Address1541 Se 17th StOcala, FL 34471-4607 · (352) 732-5590 · Fax (352) 732-0292
Phone(352) 732-5590
Fax(352) 732-0292
Organization SubpartNo
Authorized OfficialJonathan Ray WalkerOwner · (352) 732-5590
Enumeration DateNovember 12, 2019
Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
✔ NPI 1912542192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1411 MADISON PARK DR, Glen Burnie, MD 21061
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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.

COHL ASSOCIATES, P.A.
Chiropractor
1411 MADISON PARK DR, SUITE 1A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-6443
NWACHUKWU MEDICAL ASSOCIATES, PA
Internal Medicine
1411 MADISON PARK DR, SUITE 1B
GLEN BURNIE, MD 21061
Anne Arundel County (410) 553-6360
NEW HORIZON HEALTHCARE LLC
Internal Medicine
1411 MADISON PARK DR, SUITE 1B
GLEN BURNIE, MD 21061
Anne Arundel County (410) 553-6360
LAWRENCE VIDAVER MD
Internal Medicine
1411 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 761-1037
DR. ELLIOTT GORBATY M.D.
Internal Medicine
1411 MADISON PARK DR, SUITE 2B
GLEN BURNIE, MD 21061
Anne Arundel County (410) 553-9571
DR. ROBIN P COHL D.C.
Chiropractor
1411 MADISON PARK DR, SUITE 1A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-6443
AMY ELIZABETH SCHULER CRNP
Nurse Practitioner (Gerontology)
1411 MADISON PARK DR, SUITE 2B
GLEN BURNIE, MD 21061
Anne Arundel County (443) 867-4975
DR. ROBERT M COHL D.C.
Chiropractor
1411 MADISON PARK DR, SUITE 1A
GLEN BURNIE, MD 21061
Anne Arundel County (410) 760-6443

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 Ethos Health Maryland 4, LLC's NPI number?

The NPI number for Ethos Health Maryland 4, LLC is 1912542192. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Ethos Health Maryland 4, LLC located?

Ethos Health Maryland 4, LLC is located at 1411 Madison Park Dr, Glen Burnie, MD 21061. The listed phone number is (352) 732-5590.

What is Ethos Health Maryland 4, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Ethos Health Maryland 4, LLC was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.