GREATER BALTIMORE MEDICAL CENTER, INC. (NPI# 1114257144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114257144 |
Entity Type | Organization |
Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
Practice Address |
6701 N Charles St Unit 23 Baltimore MD 21204-6808 |
Mailing Address |
6701 N Charles St S. Chapman Bldg Suite 102 Baltimore MD 21204-6808 |
Practice Telephone | 4438493131 |
Enumeration Date | 2010-01-14 |
Last Update Date | 2017-10-30 |
Authorized Official Name | JOHN ELLIS (SENIOR VP CORPORATE STRATEGY) |
Authorized Official Telephone | 4438493284 |
Is Organization Subpart | Y |
Parent Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
Allopathic & Osteopathic Physicians | ||
N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians | ||
Y | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306474853 | Greater Baltimore Medical Center, Inc. | Clinic/Center | 63 E Padonia Rd Ste 125, Timonium, MD 21093-2306 | 2020-03-31 |
1790267219 | Greater Baltimore Medical Center, Inc. | Optometrist | 6569 N Charles St Ste 505, Baltimore, MD 21204-5809 | 2018-08-31 |
1164675906 | Greater Baltimore Medical Center, Inc. | Occupational Therapist | 6569 N Charles St Ste 305, Baltimore, MD 21204-5817 | 2008-10-24 |
1760625883 | Greater Baltimore Medical Center, Inc. | Neurological Surgery | 6535 N Charles St Ste 600, Baltimore, MD 21204-5827 | 2009-04-20 |
1194963496 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6535 N Charles St, Ste 125, Baltimore, MD 21204-5826 | 2009-01-26 |
1194973396 | Greater Baltimore Medical Center, Inc. | Audiologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-09-03 |
1568624856 | Greater Baltimore Medical Center, Inc. | Speech-Language Pathologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-06-27 |
1689702227 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-03-02 |
1467589705 | Greater Baltimore Medical Center, Inc. | Family Medicine | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-02-27 |
1427118397 | Greater Baltimore Medical Center, Inc. | Pediatrics | 6565 N Charles St, Ste 306, Baltimore, MD 21204-6800 | 2006-12-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GREATER BALTIMORE MEDICAL CENTER, INC. | 6701 N Charles St, Baltimore, MD 21204-6808 |
Street Address |
6701 N CHARLES ST UNIT 23 |
City | BALTIMORE |
State | MD |
Zip Code | 21204-6808 |
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 | 207SC0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Cytogenetic |
A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. A general certificate was first issued by the ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588628440 | Yi Ning | Medical Genetics | 10 S Pine St, Bldg. Mstf, Rm. 717, Baltimore, MD 21201-1116 | 2006-04-16 |
1154347425 | Antonie D Kline | Medical Genetics | 6701 N Charles St, Room 2326, Baltimore, MD 21204-6808 | 2006-07-13 |
1407894330 | Natalie Blagowidow | Medical Genetics | 6701 N Charles St, Room 2310, Baltimore, MD 21204-6808 | 2006-06-03 |
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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.