CHILDREN'S SURGICAL ASSOCIATES, LLC (NPI# 1073775359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073775359 |
Entity Type | Organization |
Organization Name | CHILDREN'S SURGICAL ASSOCIATES, LLC |
Practice Address |
6565 N Charles St Ste 305 Baltimore MD 21204-6800 |
Mailing Address |
10085 Red Run Blvd Ste 200 Owings Mills MD 21117-4836 |
Practice Telephone | 4438496201 |
Mailing Telephone | 4432048249 |
Enumeration Date | 2008-06-27 |
Last Update Date | 2008-06-27 |
Authorized Official Name | JAMES BUCK (OWNER) |
Authorized Official Telephone | 4438496201 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CAREFIRST OF MARYLAND | LN89CH | 01 |
MD | 805702800 | 05 | |
MD | CAREFIRST REGIONAL | T409 | 01 |
Street Address |
6565 N CHARLES ST STE 305 |
City | BALTIMORE |
State | MD |
Zip Code | 21204-6800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174151781 | Guo Cheng | Student in an Organized Health Care Education/Training Program | 6565 N Charles St, Baltimore, MD 21204-6800 | 2020-03-30 |
1083134712 | Mohammad Omar Kalim | Student in an Organized Health Care Education/Training Program | 6565 N Charles St, Ppe 203, Baltimore, MD 21204-6800 | 2017-06-23 |
1962886317 | Abigail Victoria Adams | Nurse Practitioner | 6565 N Charles St, Suite 306, Baltimore, MD 21204-6800 | 2015-07-15 |
1699159210 | Thit Thit | Student in an Organized Health Care Education/Training Program | 6565 N Charles St, Suite 203, Baltimore, MD 21204-6800 | 2015-07-14 |
1376938282 | Julia Elisabeth Olson | Student in an Organized Health Care Education/Training Program | 6565 N Charles St, Suite 203, Baltimore, MD 21204-6800 | 2015-03-30 |
1760876874 | Philip Ontita Angwenyi | Internal Medicine | 6565 N Charles St, Suite 203, Baltimore, MD 21204-6800 | 2015-03-26 |
1275943441 | Mikhael Polotsky | Student in an Organized Health Care Education/Training Program | 6565 N Charles St, Suite 203, Baltimore, MD 21204-6800 | 2014-04-28 |
1285051664 | Rachel H. Moss | Student in an Organized Health Care Education/Training Program | 6565 N Charles St, Ste 203, Baltimore, MD 21204-6800 | 2014-03-24 |
1255754701 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6565 N Charles St, Baltimore, MD 21204-6800 | 2014-02-03 |
1427391739 | Zhihua Geng | Student in an Organized Health Care Education/Training Program | 6565 N Charles St, Ste 203, Baltimore, MD 21204-6800 | 2013-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
Find all providers in zip 21204 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477842086 | Erica Hodgman | Surgery | 1800 Orleans St Ste 7323, Baltimore, MD 21287-0010 | 2011-04-04 |
1245508654 | Jamir Arlikar | Surgery | 600 N Wolfe St, Harvey 319, Baltimore, MD 21287-0005 | 2011-12-13 |
1346483070 | Brian Robert Englum | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2009-04-10 |
1750548426 | Alejandro Vera Garcia | Surgery | 1800 Orleans St, Bloomberg 7325, Baltimore, MD 21287-0010 | 2008-05-20 |
1679698344 | James Russell Buck | Surgery | 6565 N Charles St, Ste 305, Baltimore, MD 21204-6800 | 2007-03-20 |
1659407773 | Kimberly M. Lumpkins | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-02-25 |
1356315915 | David J Hackam | Surgery | 1800 Orleans St, Baltimore, MD 21287-0010 | 2006-02-13 |
1689655219 | Johns Hopkins University | Surgery | 600 N Wolfe St, Baltimore, MD 21205-2101 | 2005-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134107956 | Louis M Marmon | Surgery | 9715 Medical Center Dr, Suite 300, Rockville, MD 20850-3320 | 2006-01-03 |
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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.