LINDA ANNE PANICKER CHACKO


Address: 900 Caton Ave # 081, Baltimore, MD 21229-5201
Phone: 4437033200

LINDA ANNE PANICKER CHACKO (NPI# 1114345030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114345030
Entity Type Individual
Full Name LINDA ANNE PANICKER CHACKO
Credential M.D.
Practice Address 900 Caton Ave # 081
Baltimore
MD 21229-5201
Mailing Address 3501 Sinclair Ln
Baltimore
MD 21213-2029
Practice Telephone 4437033200
Practice Fax Number 4437033201
Mailing Telephone 4107328800
Mailing Fax Number 4437033242
Enumeration Date 2014-03-29
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine D83189 MD Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
29 S Paca St, Baltimore, MD 212011771 4103285012

Office Location

Street Address 900 CATON AVE # 081
City BALTIMORE
State MD
Zip Code 21229-5201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093925695 Stephanie Forte Deese Nurse Practitioner 900 Caton Ave # 081, Baltimore, MD 21229-5201 2007-05-23
1841718624 Courtney Neville Reed Nurse Practitioner 900 Caton Ave # 081, Baltimore, MD 21229 2017-08-31
1063955227 Mary Doyle Nurse Practitioner 900 Caton Ave # 081, Baltimore, MD 21229 2016-11-21
1700339660 Sireesha Upadhrasta Internal Medicine 900 Caton Ave # 081, Baltimore, MD 21229-5201 2016-07-27
1952798704 Alexandra Arriane Belcher-obejero-paz Obstetrics & Gynecology 900 Caton Ave # 081, Baltimore, MD 21229 2015-04-20

Providers in the same zip code

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
1750932430 Amanda Felix Nurse Practitioner 5411 Old Frederick Road, Catonsville, MD 21229 2019-09-24
1497317853 Wakeelat A Adeoye Nurse Practitioner 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 2019-07-05
1598328080 Oprah Cherelle Keyes Social Worker 4511 Birchwood Drive, Baltimore, MD 21229 2019-04-19
1477051779 Shahin Vohara Dentist Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 2018-02-01
1386179299 Sharon Mccollough Counselor 3219 Phelps Lane, First Floor, Baltimore, MD 21229 2017-04-28
1184175697 Yekeen Odewale Registered Nurse 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 2016-10-19
1942608070 Charity Ashe Social Worker 4024 Colborne Rd, Baltimore, MD 21229 2014-12-05
1376947127 Sumanya Venkat Rao Dentist 4510 Edmondson Ave, Baltimore, MD 21229 2014-10-21
1497091573 Anita Phillips Social Worker 5110 Frederick Avenue, Baltimore, MD 21229 2012-12-18
Find all providers in zip 21229

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225662828 Federal Hill Medical Center Family Medicine 724 A Light Street, Baltimore, MD 21230-3850 2020-02-24
1265071278 Marketing and Medical Services LLC Family Medicine 3001 S Hanover St Ste 201, Baltimore, MD 21225-1233 2019-12-23
1871134783 Tysheka Cephas Family Medicine 5951 Schering Rd, Baltimore, MD 21206-3144 2019-10-02
1740712330 Julia Sarah Maria Silva Family Medicine 29 S Paca St Dept Of, Baltimore, MD 21201-1771 2017-04-01
1275071375 Martina P Callum M.d., LLC Family Medicine 1900 E Northern Pkwy Ste 3a, Baltimore, MD 21239-2113 2017-02-08
1992134738 Your Health Network, Inc. Family Medicine 3000 Falls Rd, Suite 1, Baltimore, MD 21211-2435 2013-11-02
1124370788 Phung Lieu Levin Family Medicine 920 Newington Ave, Baltimore, MD 21217-4631 2012-10-08
1912264441 Katherine Stolarz Family Medicine 9101 Franklin Square Dr Ste 300, Baltimore, MD 21237-3966 2012-04-22
1760758684 Peter Michael Burkill Family Medicine 6535 N Charles St Ste 100, Baltimore, MD 21204-5828 2012-03-25
1083997860 Manisha A Sharma Family Medicine 733 W 40th St, Suite 200, Baltimore, MD 21211-2112 2011-09-28
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21229

Improve Information

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Dataset Information

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.

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