PAI PARTICIPANT 1 LLC (NPI# 1093371312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093371312 |
| Entity Type | Organization |
| Organization Name | PAI PARTICIPANT 1 LLC |
| Practice Address |
7700 York Rd Towson MD 21204-7513 |
| Mailing Address |
Po Box 639676 Cincinnati OH 45263-9676 |
| Practice Telephone | 4108215500 |
| Mailing Telephone | 8592914800 |
| Mailing Fax Number | 8596558588 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | ERIN N LAIRD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4104588713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13755 Golf Club Pkwy, Fort Myers, FL 339195146 | 2394822848 | 2394827321 |
| Street Address |
7700 YORK RD |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-7513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278858 | Michelle Ellen Kalendek | Nurse Practitioner | 7700 York Rd, Towson, MD 21204-7513 | 2006-03-08 |
| 1306337589 | Susan M Burdette | Physical Therapist | 7700 York Rd, Towson, MD 21204-7513 | 2018-05-23 |
| 1336649532 | Maria Elizabeth Donaldson | Occupational Therapist | 7700 York Rd, Towson, MD 21204-7513 | 2018-02-15 |
| 1235652900 | Erica Anne Good | Occupational Therapist | 7700 York Rd, Towson, MD 21204-7513 | 2017-07-25 |
| 1609304948 | Xin Li | Occupational Therapy Assistant | 7700 York Rd, Towson, MD 21204-7513 | 2017-05-31 |
| 1326581299 | Matthew Wilson | Occupational Therapy Assistant | 7700 York Rd, Towson, MD 21204-7513 | 2016-11-28 |
| 1932653763 | Anja Genth | Occupational Therapy Assistant | 7700 York Rd, Towson, MD 21204-7513 | 2016-08-10 |
| 1417301888 | 7700 York Road Operations LLC | Occupational Therapist | 7700 York Rd, Towson, MD 21204-7513 | 2016-04-21 |
| 1356701874 | Eliza Lerch | Physical Therapy Assistant | 7700 York Rd, Towson, MD 21204-7513 | 2016-02-25 |
| 1881051316 | Joshua Romanchuk | Physical Therapy Assistant | 7700 York Rd, Towson, MD 21204-7513 | 2016-01-28 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1699280511 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286 | 2017-12-14 |
| 1124572763 | Gps Physician Group of Texas Pllc | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2016-08-11 |
| 1659737898 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2016-01-04 |
| 1184095267 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2015-10-14 |
| 1104297852 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2015-10-07 |
| 1427209972 | Alberto R Yataco | Internal Medicine | 1220a E Joppa Rd, Suite109, Towson, MD 21286-5812 | 2008-10-02 |
| 1063517878 | Neeta S Deshpande | Internal Medicine | 7601 Osler Drive, Towson, MD 21204 | 2006-09-14 |
| 1023084209 | John Loome | Internal Medicine | 515 Fairmount Ave, 9th Floor, Towson, MD 21286-5466 | 2006-02-27 |
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|---|---|---|---|---|
| 1407409253 | Health Practice Partners LLC | Internal Medicine | 8028 Ritchie Hwy Ste 210b, Pasadena, MD 21122-1059 | 2019-07-22 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1598252371 | Wayne Medical Associate, Inc. | Internal Medicine | 7207 Hanover Pkwy Ste A, Greenbelt, MD 20770-2089 | 2018-04-17 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1982102943 | 3s Health LLC | Internal Medicine | 10400 Connecticut Ave Ste 206, Kensington, MD 20895-3941 | 2018-01-24 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1912371832 | Phillip W. Stone, Md, LLC | Internal Medicine | 16013 Fields End Ct, Woodbine, MD 21797-7542 | 2015-11-16 |
| 1598023194 | Health First Medical Care LLC | Internal Medicine | 9650 Santiago Rd Ste 6, Columbia, MD 21045-3960 | 2012-05-02 |
| 1609141795 | Mattan Schuchman | Internal Medicine | 5210 Eastern Ave, Alpha Center #127, Baltimore, MD 21224 | 2012-03-21 |
| 1013204171 | Chantal Youssef | Internal Medicine | 13105 Bucks Ridge Ct, Ellicott City, MD 21042 | 2011-07-08 |
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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.