WESTSIDE MEDICAL GROUP L. L. C (NPI# 1124219779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124219779 |
| Entity Type | Organization |
| Organization Name | WESTSIDE MEDICAL GROUP L. L. C |
| Practice Address |
2600 Liberty Heights Ave Baltimore MD 21215-7804 |
| Mailing Address |
Po Box 922 Brooklandville MD 21022-0922 |
| Practice Telephone | 4103834424 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Authorized Official Name | DR. TAJUDEEN I OHIOKPEHAI (PRESIDENT) |
| Authorized Official Telephone | 4109227382 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2600 LIBERTY HEIGHTS AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-7804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669448767 | Adeyemisi O Sosanya | Internal Medicine | 2600 Liberty Heights Ave, Baltimore, MD 21215 | 2006-02-27 |
| 1265662795 | Kofi Shaw-taylor Md Pa Westside Medical Group | Urology | 2600 Liberty Heights Ave, Baltimore, MD 21215-7804 | 2009-07-17 |
| 1285874149 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 2600 Liberty Heights Ave, Baltimore, MD 21215-7804 | 2009-03-04 |
| 1396950911 | Urban Medical Institute | Clinic/Center | 2600 Liberty Heights Ave, Baltimore, MD 21215-7804 | 2007-05-14 |
| 1194930115 | One Heart LLC | Internal Medicine | 2600 Liberty Heights Ave, Baltimore, MD 21215-7804 | 2007-05-12 |
| 1043438716 | Michael Ogbolu | Pathology | 2600 Liberty Heights Ave, Baltimore, MD 21215-7804 | 2007-04-20 |
| 1740408418 | Qualitech Laboratory | Clinical Medical Laboratory | 2600 Liberty Heights Ave, Baltimore, MD 21215-7804 | 2007-04-20 |
| 1578626792 | Bon Secours Hospital-mobile Mri | Clinic/Center | 2600 Liberty Heights Ave, 1st Floor, Baltimore, MD 21215-7804 | 2006-12-18 |
| 1104922913 | Lois Ann Freeman | Nurse Practitioner | 2600 Liberty Heights Ave, One Heart LLC, Baltimore, MD 21215 | 2006-09-16 |
| 1629016027 | Westside Medical Group Inc | Specialist | 2600 Liberty Heights Ave, 1st Floor, Baltimore, MD 21215-7804 | 2006-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184272296 | Federal Hill Pediatric Center | Internal Medicine | 724 Light St Ste A, Baltimore, MD 21230-3813 | 2019-09-02 |
| 1861051096 | Intermed Associates Ipa, LLC | Internal Medicine | 9106 Philadelphia Rd Ste 214, Baltimore, MD 21237-4333 | 2019-06-11 |
| 1720540925 | Johns Hopkins Community Physicians | Internal Medicine | 5210 Eastern Ave Ste 127, Baltimore, MD 21224-2719 | 2019-04-05 |
| 1013488188 | Atlantic Medical Associates, LLC | Internal Medicine | 6717 Park Heights Ave Lowr Level, Baltimore, MD 21215-2443 | 2018-12-16 |
| 1700386109 | Burke Medical, P.C. | Internal Medicine | 8 Market Pl Ste 300, Baltimore, MD 21202-4113 | 2018-02-13 |
| 1538695598 | Hisham Ahmed Farhan | Internal Medicine | 827 Linden Ave # B-2043, Baltimore, MD 21201-4606 | 2017-05-11 |
| 1538692652 | Thi Khuc | Internal Medicine | 22 S Greene St # N3w156, Baltimore, MD 21201-1544 | 2017-04-05 |
| 1053868646 | Apurva Sharma | Internal Medicine | 600 N Wolfe St Blalock 545, Baltimore, MD 21287-1766 | 2016-09-01 |
| 1053761031 | Seyed Mohammad Hodanazari | Internal Medicine | 727 W 40th St # A215, Baltimore, MD 21211-2105 | 2016-06-21 |
| 1568824522 | Alaina Christine Chodoff | Internal Medicine | 2024 E Monument St Fl 2, Baltimore, MD 21287-0028 | 2016-03-28 |
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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.