PULMONARY AND CRITICAL CARE ASSOCIATES OF BALTIMORE, P.A. (NPI# 1043305832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043305832 |
| Entity Type | Organization |
| Organization Name | PULMONARY AND CRITICAL CARE ASSOCIATES OF BALTIMORE, P.A. |
| Practice Address |
501 Fairmount Ave Ste 103 Towson MD 21286-5457 |
| Practice Telephone | (410) 494-7920 |
| Practice Fax Number | 4109028247 |
| Mailing Telephone | (410) 494-7920 |
| Mailing Fax Number | 4109028247 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-07-07 |
| Authorized Official Name | MR. ROBERT WEST (CEO) |
| Authorized Official Telephone | 4104947921 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 415836900 | 05 | |
| AETNA | 0577133 | 01 | |
| MD | BLUE SHIELD | 420A | 01 |
| MD | BLUE CHOICE/FEP | E554 | 01 |
| RAILROAD MEDICARE | CC2968 | 01 |
| Street Address |
501 FAIRMOUNT AVE STE 103 |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-5457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851727051 | Pulmonary and Critical Care Associates of Baltimore, Pa | Psychologist | 501 Fairmount Ave Ste 103, Towson, MD 21286-5457 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890036 | Albert Shan-ching Sun Estate Chen Chih Sun, Per Rep | Internal Medicine | 1200 Temfield Rd., Towson, MD 21286 | 2015-05-11 |
| 1487602421 | George A. Bedon | Internal Medicine | 515 Fairmount Ave, Suite 510, Towson, MD 21286-5466 | 2006-05-04 |
| 1952369449 | Philip Clay Buescher | Internal Medicine | 515 Fairmount Ave Ste 500, Towson, MD 21286-5466 | 2006-05-03 |
| 1912993031 | Hassan M Makhzoumi | Internal Medicine | 120 Sister Pierre Dr, Ste 505, Towson, MD 21204-7516 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1215577077 | Anne Arundel Physicians Group, LLC | Internal Medicine | 2003 Medical Pkwy Ste 310, Annapolis, MD 21401-7944 | 2020-01-09 |
| 1851637276 | Joel Moss | Internal Medicine | Room 6d05 Bldg 10, National Institutes of Health, Bethesda, MD 20892-1590 | 2012-12-13 |
| 1013276591 | Maryland Pulmonary Associates LLC | Internal Medicine | 10307 Fleming Ave, Bethesda, MD 20814-2162 | 2012-05-03 |
| 1407158389 | Victor Hrehorovich | Internal Medicine | 10913 Tony Dr, Lutherville, MD 21093-3618 | 2010-11-26 |
| 1700103231 | Robert Edward Walker | Internal Medicine | 3902 Blackthorn St, Chevy Chase, MD 20815-5056 | 2010-04-23 |
| 1679766950 | Maryland Lung Associates Pa | Internal Medicine | 3449 Wilkens Avenue, Suite 207, Balitimore, MD 21229 | 2007-08-21 |
| 1669670618 | John C Huetsch | Internal Medicine | 5501 Hopkins Bayview Cir Fl 4, Baltimore, MD 21224-6821 | 2007-07-10 |
| 1316067929 | Lev Agarunov | Internal Medicine | 12154 Darnestown Rd, Ste 625, Gaithersburg, MD 20878-2206 | 2007-03-29 |
| 1568593408 | Bernadette R Gochuico | Internal Medicine | 10 Center Dr Msc 1851, Building 10, Room 10c103, Bethesda, MD 20892-1851 | 2007-03-09 |
| Find all providers with the same taxonomy | ||||
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| 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.