DAVID ANDREW RISEBERG (NPI# 1124133210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124133210 |
| Entity Type | Individual |
| Full Name | DAVID ANDREW RISEBERG |
| Credential | MD |
| Practice Address |
227 St Paul Place 4th Floor Baltimore MD 21202-2001 |
| Practice Telephone | 4107835858 |
| Practice Fax Number | 4107835864 |
| Mailing Telephone | 4107835858 |
| Mailing Fax Number | 4107835864 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
D40854 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST MD | 52343402 | 01 | |
| CAREFIRST DC | R8440002 | 01 | |
| AETNA | 776075 | 01 |
| Street Address |
227 ST PAUL PLACE 4TH FLOOR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649385634 | Panayotis Ledakis | Internal Medicine | 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-08-20 |
| 1336254424 | Marvin Jack Feldman | Internal Medicine | 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616873 | Christian Rolfo | Internal Medicine | 22 S Greene St # S9d, Baltimore, MD 21201-1591 | 2018-04-18 |
| 1124344692 | William Brian Dalton | Internal Medicine | Johns Hopkins Sidney Kimmel Ctr, 1650 Orleans St. Crb1 191, Baltimore, MD 21287-0001 | 2010-04-08 |
| 1134381692 | Cesar Augusto Santa-maria | Internal Medicine | 1650 Orleans St # 155, Baltimore, MD 21287-0013 | 2008-06-26 |
| 1457495483 | Mei Tang | Internal Medicine | 6569 N Charles St Ste 201, Baltimore, MD 21204-6831 | 2007-02-15 |
| 1124185236 | Michele Kim Evans | Internal Medicine | 5600 Nathan Shock Dr, Mailbox 09 National Institute On Aging, Baltimore, MD 21224-6825 | 2007-01-02 |
| 1326159674 | Louise B Grochow | Internal Medicine | Johns Hopkins Hosp Oncology Ctg C/o Martin Abeloff, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2006-08-31 |
| 1760411326 | Ranee Mehra | Internal Medicine | 1550 Orleans St, Crb II 5m.43, Baltimore, MD 21287-0014 | 2006-07-03 |
| 1538102603 | Judy Lyn Hetherington | Internal Medicine | 10753 Falls Road Pavilion II, Baltimore, MD 21093 | 2006-06-14 |
| 1992761050 | Ivan Marques Borrello | Internal Medicine | 1650 Orleans St, Crb-1 Rm 453, Baltimore, MD 21263-0001 | 2006-04-25 |
| 1972087781 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-09-18 |
| Find all providers in BALTIMORE | ||||
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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.