MR. LEE ELLIOT GILMAN (NPI# 1033644554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033644554 |
| Entity Type | Individual |
| Full Name | MR. LEE ELLIOT GILMAN |
| Credential | MSN-AGNP, NP-C, RN |
| Practice Address |
5200 Eastern Ave Bldg East2nd Baltimore MD 21224-2734 |
| Mailing Address |
5200 Eastern Ave Bldg East Baltimore MD 21224-2734 |
| Practice Telephone | 4105502999 |
| Practice Fax Number | 4103672442 |
| Mailing Telephone | 4105502999 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R209821 | MD | Nursing Service Providers |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
XG4336702 | MD | Allopathic & Osteopathic Physicians |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R209821 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R209821 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA BUPRENORPHINE WAIVER | XG4336702 | 01 | |
| DEA | MG4336702 | 01 | |
| MD | 126407960 | 05 | |
| MD | MARYLAND BOARD OF NURSING LICENSE | R209821 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 E Fayette St, Baltimore, MD 212024721 | 4103969410 | |
| 2601 N Howard St Ste 220, Baltimore, MD 212184666 | 4438385593 | 4103675879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295229839 | Lee Gilman | Counselor | 1600 E Olive St, Seattle, WA 98122-2735 | 2018-06-18 |
| Street Address |
5200 EASTERN AVE BLDG EAST2ND |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364192 | Folasade O Onasanya | Nurse Practitioner | 3312 Croydon Rd, Baltimore, MD 21207-4543 | 2020-10-23 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1730654062 | Alaina Lourdes Frey | Nurse Practitioner | 3455 Wilkens Ave # L10, Baltimore, MD 21229-5213 | 2018-10-13 |
| 1336624113 | Optimum Family Clinic | Nurse Practitioner | 6014 Harford Rd, Baltimore, MD 21214-1327 | 2018-09-27 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1073050365 | Marla Brown | Nurse Practitioner | 6821 Reisterstown Rd Ste 106, Baltimore, MD 21215-1434 | 2017-01-24 |
| 1326443086 | Yury Malachevsky | Nurse Practitioner | 2435 W. Belvedere Avenue, Suite 22, Baltimore, MD 21215 | 2014-10-23 |
| 1174954499 | Neighborhood Wellness, LLC | Nurse Practitioner | 2401 Liberty Heights Avenue, Mondawmin Mall, Space 4625, Baltimore, MD 21215-8086 | 2013-12-12 |
| 1811261050 | Ashley Miller Salamone | Nurse Practitioner | 1800 Orleans Street Sheikh Zayed Tower, Suite 7125 F-1, Baltimore, MD 21287-0020 | 2012-03-06 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on MR. LEE ELLIOT GILMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.