G ROBERT MEDALIE (NPI# 1083621676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083621676 |
| Entity Type | Individual |
| Full Name | G ROBERT MEDALIE |
| Credential | MD |
| Practice Address |
6535 N Charles Street Suite 325 Baltimore MD 21204-5824 |
| Practice Telephone | 4103219701 |
| Practice Fax Number | 4103210845 |
| Mailing Telephone | 4103219701 |
| Mailing Fax Number | 4103210845 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D0021398 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | RAILROAD MEDICARE | 060057954 | 01 |
| MD | 138731600 | 05 |
| Street Address |
6535 N CHARLES STREET SUITE 325 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204-5824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629086608 | Rosalie S Mccabe | Social Worker | 6535 N Charles Street, Suite 300, Baltimore, MD 21204 | 2006-08-04 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1407119712 | Yitzhak Rosen | Internal Medicine | Sheikh Zayed - Echo Lab, 1800 Orleans Streeet, 4th Floor, Baltimore, MD 21287-0010 | 2012-06-21 |
| 1013206119 | Thorsten Martin Leucker | Internal Medicine | 4940 Eastern Ave Ste 2400, Baltimore, MD 21224-2735 | 2011-03-30 |
| 1003115387 | Tolulope Adesiyun Agunbiade | Internal Medicine | 3333 N Calvert St Ste Llo8, Baltimore, MD 21218 | 2011-03-25 |
| 1932401544 | Esther Sung Hee Pak | Internal Medicine | 4416 Laplata Ave, Apt A, Baltimore, MD 21211-1135 | 2010-12-02 |
| 1598990780 | Boon Yew Tan | Internal Medicine | 600 N Wolfe Street Carnegie 592, Baltimore, MD 21287-0001 | 2009-05-18 |
| 1548494529 | Mansoor Mozayan | Internal Medicine | 9105 Franklin Square Dr Ste 209, Baltimore, MD 21237-3958 | 2009-05-06 |
| 1083880876 | John Rickard | Internal Medicine | 301 Mason Lord Dr, Baltimore, MD 21224-3057 | 2008-05-01 |
| 1639362247 | Ramanather Sirithara, M.d., P.a. | Internal Medicine | 3001 Hanover St, Suite 334, Baltimore, MD 21225-1233 | 2007-08-27 |
| 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.