SURYAMOL A CHACKO


Address: 8605 Rigley's Choice Dr, Baltimore, MD 21236
Phone: 8555462001

SURYAMOL A CHACKO (NPI# 1053793927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053793927
Entity Type Individual
Full Name SURYAMOL A CHACKO
Practice Address 8605 Rigley's Choice Dr
Baltimore
MD 21236
Mailing Address 9600 Pulaski Park Drive, Suite 103
Medstar Medical Group, C/o Lindsay Smoot
Baltimore
MD 21220
Practice Telephone 8555462001
Enumeration Date 2015-06-26
Last Update Date 2015-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R168493 MD Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
R168493 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8605 RIGLEY'S CHOICE DR
City BALTIMORE
State MD
Zip Code 21236

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699381467 Monique Gaston Counselor Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 2020-09-17
1215575519 Bh Brightview Perry Hall Opco, LLC Alzheimer Center (Dementia Center) 9657 Belair Road, Nottingham, MD 21236 2019-12-17
1750929493 Bh Brightview White Marsh Opco, LLC Alzheimer Center (Dementia Center) 8100 Rossville Blvd., Baltimore, MD 21236 2019-12-12
1083257646 Matthew Peter Halstad Behavioral Analyst 8090 Sandpiper Circle, Nottingham, MD 21236 2019-10-25
1609331602 Tunisia Buise Social Worker 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 2019-02-04
1730673047 Golden Jemz Adult Medical Day Clinic/Center 5020 Cambell Blvd, Nottingham, MD 21236 2018-06-20
1487143400 For Eyes Optical of Pa Eyewear Supplier (Equipment, not the service) 7984 Honeygo Blvd, Nottingham, MD 21236 2018-05-04
1619478922 Weis Markets, Inc. Pharmacy 7927 Belair Rd Ste S, Nottingham, MD 21236 2018-02-22
1285133918 Joan Rosa Keller Behavior Technician 3501 Taylor Ave., Baltimore, MD 21236 2018-02-08
1205341146 Ebony Watkins Nurse Practitioner 8940 Kilkenny Circle, Nottingham, MD 21236 2017-12-13
Find all providers in zip 21236

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748672 Taneka Lee Nurse Practitioner 5415 Force Rd, Baltimore, MD 21206-4617 2020-10-19
1750996930 Ashley Tyisha Sydnor Nurse Practitioner 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 2020-09-14
1750992293 Samantha Rodriguez Nurse Practitioner 3989 Boston St, Baltimore, MD 21224-5759 2020-08-10
1265040380 Pathway To Wellness Healthcare Center Nurse Practitioner 6507 Baltimore Ave, Baltimore, MD 21222-4002 2020-07-14
1679107916 Ugochi Ebiye Nurse Practitioner 6 Millwheel Ct, Baltimore, MD 21236-2548 2020-02-25
1417580168 Tiwalola Olabisi Akinsade Nurse Practitioner 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 2020-02-20
1457996688 Lashawn S Scott Nurse Practitioner 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 2019-11-12
1740825041 Rosemary Lokko Nurse Practitioner 2431 Jefferson St, Baltimore, MD 21205-2543 2019-11-10
1881237972 Jennifer Lillian Mothershed Nurse Practitioner 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 2019-10-22
1376186775 Jessica L Mcauliffe Nurse Practitioner 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 2019-10-18
Find all providers in BALTIMORE

Competitor

Search similar providers

City BALTIMORE
Zip Code 21236

Improve Information

Please comment or provide details below to improve the information on SURYAMOL A CHACKO.

Dataset Information

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.

Trending Searches