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John P Gearhart

Urology

Allopathic & Osteopathic Physicians

601 N Caroline St, Baltimore, MD 21287-0006

PECOS Enrollment

This provider is enrolled in PECOS as JOHN GEARHART.

Based on the most recent information from CMS, provider John P Gearhart is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1396782686
Provider Type
Individual
Full Name
Gearhart, John P
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/2/2006
Last Updated
2/6/2013

Contact Information

Practice Location

601 N Caroline St, Baltimore, MD 21287-0006

(410) 955-6100

Unlisted Fax

Mailing Location

PO Box 64255, Baltimore, MD 21264-4255

(410) 955-6108

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208800000X Primary	Description Urology Allopathic & Osteopathic Physicians	License D30364 Maryland

Provider Identifiers

ID	Description	Issuer
ID 382151000	Description Medicaid	Issuer Unlisted Maryland

John P Gearhart

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Johns Hopkins University

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Walsh, Patrick

Schaeffer, Edward Matthew

Singla, Nirmish

Dodson, Jennifer Lockwood

Levy, Jason

Nimmagadda, Naren

Carter, Herbert Ballentine