AMITA BAGAL (NPI# 1114997301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114997301 |
| Entity Type | Individual |
| Full Name | AMITA BAGAL |
| Credential | M.D. |
| Practice Address |
1447 York Rd Suite 301 Lutherville MD 21093-6017 |
| Mailing Address |
1447 York Rd Suite 301 Lutherville MD 21093-6022 |
| Practice Telephone | 4102529090 |
| Practice Fax Number | 4433788887 |
| Mailing Telephone | 4102529090 |
| Mailing Fax Number | 4102529090 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
D0071627 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1447 YORK RD SUITE 301 |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518206 | Vera Garnett | Nurse Practitioner | 1447 York Rd, Lutherville, MD 21093-6017 | 2019-10-04 |
| 1134622095 | Megan Quinn | Physician Assistant | 1447 York Rd, Lutherville, MD 21093-6017 | 2018-03-16 |
| 1043663206 | Gbmc-wp-pt | Physical Therapist | 1447 York Rd, Suite 401, Lutherville, MD 21093-6017 | 2016-07-22 |
| 1871943613 | Donald Antonio Guillen | Audiologist | 1447 York Rd, Suite 312, Lutherville, MD 21093-6017 | 2016-06-13 |
| 1871941468 | Ambulatory Surgery Center for Pelvic Neuro Science LLC | Clinic/Center | 1447 York Rd, Suite 406, Lutherville, MD 21093-6017 | 2016-05-25 |
| 1235587874 | Maryland Institute for Pelvic Neuro Science LLC | Urology | 1447 York Rd, Suite 508, Lutherville, MD 21093-6017 | 2016-05-24 |
| 1144681263 | Rupinder Singh Md PC | Internal Medicine | 1447 York Rd, Suite 406, Lutherville, MD 21093-6017 | 2016-03-17 |
| 1235590357 | David A Gordon PC | Urology | 1447 York Rd, Suite 406, Lutherville, MD 21093-6017 | 2016-03-17 |
| 1124492996 | Mohs and Skin Surgery Center, LLC | Clinic/Center | 1447 York Rd, Suite 301, Lutherville, MD 21093-6017 | 2015-11-17 |
| 1073992061 | Katelyn Leitner | Audiologist | 1447 York Rd, Suite 312, Lutherville, MD 21093-6017 | 2015-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134102569 | Wyatt Clarence To | Plastic Surgery | 63 Thomas Johnson Dr, Suite, Frederick, MD 21702-4384 | 2005-11-21 |
| City | LUTHERVILLE |
| Zip Code | 21093 |
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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.