YNGVILD OLSEN


Address: 2104 Maryland Ave, Baltimore, MD 21218-5612
Phone: 4107506080

YNGVILD OLSEN (NPI# 1134173594) 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) 1134173594
Entity Type Individual
Full Name YNGVILD OLSEN
Credential M.D., M.P.H.
Practice Address 2104 Maryland Ave
Baltimore
MD 21218-5612
Practice Telephone 4107506080
Mailing Telephone 4107506080
Enumeration Date 2006-05-20
Last Update Date 2015-08-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
D57871 MD Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine D57871 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 699117300 05

Office Location

Street Address 2104 MARYLAND AVE
City BALTIMORE
State MD
Zip Code 21218-5612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679556559 Institutes for Behavior Resources Inc Clinic/Center 2104 Maryland Ave, Baltimore, MD 21218-5612 2005-11-23
1689200438 Elizabeth Swartz Social Worker 2104 Maryland Ave, Baltimore, MD 21218-5612 2020-03-12
1881127058 Lindsay Schwartz Social Worker 2104 Maryland Ave, Baltimore, MD 21218-5612 2017-04-05
1063891869 Institutes for Behavior Resources, Inc. Clinic/Center 2104 Maryland Ave, Baltimore, MD 21218-5612 2015-05-26
1104223684 Institutes for Behavior Resources, Inc. Counselor 2104 Maryland Ave, Baltimore, MD 21218-5612 2014-11-26
1629474960 Sharon Bolden Counselor 2104 Maryland Ave, Baltimore, MD 21218-5612 2014-11-14
1508262023 Joan Sperlein Counselor 2104 Maryland Ave, Baltimore, MD 21218-5612 2014-11-11
1831594852 Scott Kutkat Counselor 2104 Maryland Ave, Baltimore, MD 21218-5612 2014-11-03
1497940159 Nishant Shah Family Medicine 2104 Maryland Ave, Baltimore, MD 21218 2007-09-06
1770630063 Charles O. Rouse Counselor 2104 Maryland Ave, Baltimore, MD 21218-5612 2007-01-05
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Providers in the same zip code

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1093273559 Brenda H. Wells Social Worker 200 E. North Ave., Baltimore, MD 21218 2019-03-04
1619441011 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 2514 Greenmount Avenue, Baltimore, MD 21218 2019-01-18
1649740291 Elise Christine Starkey Occupational Therapist 801 Argonne Drive, Baltimore, MD 21218 2018-11-27
1851861421 Alagra S Bass Social Worker 1900 N. Howard Street Suite 300, Baltimore, MD 21218 2018-11-27
1396213575 Desiree Luerene Israel Social Worker 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 2018-11-06
1952885451 Harwood Behavioral Health Partners, LLC Clinic/Center 2514 Greenmount Ave, Baltimore, MD 21218 2018-09-20
1528548047 Rozi Khan Student in an Organized Health Care Education/Training Program 325 East University Pkwy 1-3, Bltimore, MD 21218 2018-08-14
1558866202 Prabij N/a Dhungana Student in an Organized Health Care Education/Training Program 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 2018-03-26
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

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1619054046 Paulette Camille Hill Family Medicine 707 S President St Apt 1335, Baltimore, MD 21202-4497 2006-11-01
1417982208 Robert Scott Goodwin Family Medicine 251 Bayview Blvd, Room 05a727, Baltimore, MD 21224-6823 2006-07-11
1255976874 Tuerk House Inc Family Medicine 730 N Ashburton St, Baltimore, MD 21216-4703 2019-11-07
1871058701 Chioma Ugbam Family Medicine 22 S Greene St, Baltimore, MD 21201-1544 2019-02-05

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1629114657 Laurie J. Poss, M.d. P.a. Family Medicine 133 Defense Highway, Suite 211, Annapolis, MD 21401-7378 2007-01-29
1891872669 Akintoye Adelakun Family Medicine 3311 Toledo Terrace, Suite A3, Blessing Medical Center, Hyattsville, MD 20785 2006-11-01
1447225719 Natale Joseph Gagliardi Family Medicine 2528 Mountain Rd, #204, Pasadena, MD 21122-2300 2006-02-21
1730787847 Envision Health and Wellness Family Medicine 2 W Rolling Xrds Ste 111, Catonsville, MD 21228-6211 2020-10-12
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Competitor

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City BALTIMORE
Zip Code 21218

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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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