VA MARYLAND HEALTH CARE SYSTEM (NPI# 1114346731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114346731 |
| Entity Type | Organization |
| Organization Name | VA MARYLAND HEALTH CARE SYSTEM |
| Practice Address |
10 N Greene St Baltimore MD 21201-1524 |
| Mailing Address |
2154 Winterwood Dr Fullerton CA 92833-1250 |
| Practice Telephone | 4106057000 |
| Mailing Telephone | 7148833733 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | RICK ADAMS (CHIEF OF PODIATRY) |
| Authorized Official Telephone | 4106057242 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043541279 | Va Maryland Health Care System | Clinic/Center | 361 Boiler House Rd, Va Medical Center, Perry Point, MD 21902-1103 | 2010-01-28 |
| 1750477592 | Va Maryland Health Care System | Psychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-10-05 |
| 1053373472 | Va Maryland Health Care System | General Acute Care Hospital | 10 N Greene St, Vamhcs, Baltimore, MD 21201-1524 | 2006-04-03 |
| 1124089032 | Va Maryland Health Care System | General Acute Care Hospital | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-03-30 |
| 1508826017 | Va Maryland Health Care System | General Acute Care Hospital | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VA MARYLAND HEALTH CARE SYSTEM | 10 North Greene Street, Baltimore, MD 21201-1524 |
| Street Address |
10 N GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457347031 | Deborah Sue Hebert Dlugose | Nurse Anesthetist, Certified Registered | 10 N Greene St, Baltimore, MD 21201-1524 | 2005-09-20 |
| 1134736457 | Alexus Johnson | Social Worker | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-09-30 |
| 1700499134 | Ozioma Erondu | Nurse Practitioner | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-25 |
| 1396356077 | Jessica Cinda Dalrymple | Clinical Neuropsychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-14 |
| 1033729330 | La'quana Hussey | Social Worker | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-03 |
| 1619585825 | Sarah Beth Neser | Nurse Practitioner | 10 N Greene St, Bt/18/gr, Baltimore, MD 21201-1524 | 2020-07-14 |
| 1184242109 | Claire Regan | Nurse Practitioner | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-07-07 |
| 1770109738 | Levi Ridgeway | Optometrist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-06-24 |
| 1467078410 | Daniel Shelton Cason | Optometrist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-06-24 |
| 1811513104 | Gail Rachel Bojarski | Optometrist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316590706 | Medstar Medical Group II, LLC | Clinic/Center | 5601 Loch Raven Blvd Ste 101, Baltimore, MD 21239-2945 | 2019-07-24 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1144547951 | Richard L. Rosenblatt D.p.m.,pc | Clinic/Center | 6606 Park Heights Ave Ste 9a, Baltimore, MD 21215-2732 | 2010-05-03 |
| 1699952432 | Steven Wiener Dpm Pa | Clinic/Center | 1900 E Northern Pkwy, Suite 204, Baltimore, MD 21239-2113 | 2008-01-23 |
| 1447378328 | Greene Tree Foot Ankle Surgicenter | Clinic/Center | 1838 Greene Tree Rd, Suite 430, Baltimore, MD 21208-6391 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497089304 | Catonsville Foot & Ankle | Clinic/Center | 109 Osborne Ave, Catonsville, MD 21228-4937 | 2009-09-24 |
| 1760491633 | Calvert Ambulatory Foot Surgery Center | Clinic/Center | 1430 Old Solomons Island Road, Prince Frederick, MD 20678 | 2006-08-07 |
| 1780687442 | Polun American Surgery Center, PC | Clinic/Center | 10236 River Rd, Potomac, MD 20854-4959 | 2005-05-24 |
| 1124534581 | Sole Care LLC | Clinic/Center | 23 Clovelly St Apt 4105, Pikesville, MD 21208-3776 | 2017-12-21 |
| 1295261436 | Samuel D Beitler | Clinic/Center | 795 Aquahart Rd, Suite 125, Glen Burnie, MD 21061-3962 | 2017-05-09 |
| 1316326978 | Reconstructive Foot and Ankle Institute, LLC | Clinic/Center | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2015-05-28 |
| 1245668060 | Soffer Foot and Ankle Care, LLC | Clinic/Center | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 | 2013-10-15 |
| 1417275660 | Ronald K. Criss, D.p.m.,p.c. | Clinic/Center | 2255 Crain Hwy, Suite 102, Waldorf, MD 20601-3164 | 2010-05-12 |
| 1023267903 | Family Podiatry PC | Clinic/Center | 5632 Annapolis Rd Ste 12, Bladensburg, MD 20710-2213 | 2008-09-16 |
| 1093989972 | Family Footcare | Clinic/Center | 20 Crossroads Dr Ste 15, Owings Mills, MD 21117-5479 | 2008-04-22 |
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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.