MEDSTAR PHYSICIAN PARTNERS (NPI# 1063456549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063456549 |
| Entity Type | Organization |
| Organization Name | MEDSTAR PHYSICIAN PARTNERS |
| Practice Address |
107 Beacon Rd Baltimore MD 21220-3504 |
| Practice Telephone | 4106869019 |
| Practice Fax Number | 4106871975 |
| Mailing Telephone | 4106869019 |
| Mailing Fax Number | 4106871975 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PATRICIA RABELLO FREIRE AYRES (INTERNAL MEDIACL DOCTOR) |
| Authorized Official Telephone | 4106869019 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEDSTAR PHYSICIAN PARTNERS INC. | 9600 Pulaski Park Drive, Baltimore, Maryland 21220 |
| Street Address |
107 BEACON RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21220-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093942955 | Helixcare Medical Group, LLC | Family Medicine | 107 Beacon Rd, Baltimore, MD 21220-3504 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164119 | Sian Crosby | Speech-Language Pathologist | Glenmar Elementrary School, 9700 Community Drive, Middle River, MD 21220 | 2018-11-29 |
| 1336545029 | Andrea Tuck | Counselor | 24 Granny Smith Ct, Baltimore, MD 21220 | 2014-11-07 |
| 1356762959 | Johns Hopkins Hospital | General Acute Care Hospital | 11550 Crossroad Circle, Unit 606, Middle River, MD 21220 | 2013-12-27 |
| 1770693392 | Costco Wholesale Corporation | Pharmacy | 9919 Pulaski Hwy, Baltimore, MD 21220 | 2006-08-30 |
| 1255393344 | James Wallace Carpenter | Physician Assistant | 10 North Green St, Va Med Center Ward 6b, Baltimore, MD 21220 | 2006-04-04 |
| 1386624427 | Allen F Clowers | Family Medicine | 107 Beacon Road, Baltimore, MD 21220 | 2006-01-17 |
| 1306229794 | Dorcas Lwanga | Dietitian, Registered | 201 Ballard Ave, Middle River, MD 21220 | 2015-07-02 |
| 1437550761 | Eastern Avenue Dental, LLC | Dentist | 12412 Eastern Ave, Baltimore, MD 21220 | 2014-09-05 |
| 1366857617 | Suprina Kaur | Dentist | 12412 Eastern Ave, Middle River, MD 21220 | 2014-06-25 |
| 1316905227 | Chienyenwa E. Nwachinemere | Internal Medicine | 201 Ballard Ave, Middle River, MD 21220 | 2006-05-02 |
| Find all providers in zip 21220 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1629615901 | Regen Medical LLC | Clinic/Center | 3916 Hickory Ave, Baltimore, MD 21211-1834 | 2019-12-05 |
| 1932526191 | Doctors Plus Medical Center, Inc. | Clinic/Center | 7640 Belair Rd, Baltimore, MD 21236-4088 | 2014-03-26 |
| 1376871996 | Alan A. Rosen, M.d., P.a. | Clinic/Center | 2411 W. Belvedere Avenue, Suite 306, Baltimore, MD 21215 | 2009-11-19 |
| 1538286174 | State of Marlyand | Clinic/Center | 1000 Hilltop Cir, Baltimore, MD 21250-0001 | 2007-03-26 |
| 1679512909 | Shock Trauma Associates, P.a. | Clinic/Center | 11 S Paca St, Suite 500, Baltimore, MD 21201-1791 | 2006-06-05 |
| 1487262473 | Halyard Behavioral Health & Wellness | Clinic/Center | 2415 Maryland Ave, Baltimore, MD 21218-5017 | 2020-07-16 |
| 1043798259 | Johns Hopkins University | Clinic/Center | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-07-31 |
| 1891140653 | The House of Nehemiah Outreach and Ministries | Clinic/Center | 3300 Windsor Ave, Baltimore, MD 21216-2616 | 2016-04-29 |
| 1215327259 | Kennedy Krieger Associates, Inc - Mental Health Group Provider | Clinic/Center | 707 N. Broadway, Baltimore, MD 21205 | 2015-01-29 |
| Find all providers in BALTIMORE | ||||
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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.