ST PAUL PLACE SPECIALISTS, INC. (NPI# 1154362473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154362473 |
| Entity Type | Organization |
| Organization Name | ST PAUL PLACE SPECIALISTS, INC. |
| Practice Address |
301 Saint Paul Pl #402 - Neurology Baltimore MD 21202-2102 |
| Mailing Address |
Po Box 64075 Baltimore MD 21264-4075 |
| Practice Telephone | 4103471891 |
| Practice Fax Number | 4103471893 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | JOHN E TOPPER (SR, VP) |
| Authorized Official Telephone | 4109511773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | D0022874 | MD | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
D0064021 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BC / BS OF MD | LK36 | 01 |
| MD | BLUECHOICE | S186 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195532 | St Paul Place Specialists, Inc. | Obstetrics & Gynecology | 1777 Reisterstown Rd, Ste 210, Pikesville, MD 21208-1306 | 2007-05-18 |
| 1679618359 | St Paul Place Specialists, Inc. | Pathology | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2007-02-21 |
| 1497821839 | St Paul Place Specialists, Inc. | Dermatology | 301 St Paul Place, Baltimore, MD 21202 | 2006-11-28 |
| 1851405187 | St Paul Place Specialists, Inc. | Optometrist | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-17 |
| 1639189863 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St Paul Place, Medical Staff Office, Baltimore, MD 21202 | 2006-08-09 |
| 1497796775 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Pob 411, Baltimore, MD 21202-2102 | 2006-06-09 |
| 1174564736 | St Paul Place Specialists, Inc. | Internal Medicine | 227 Saint Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-06-08 |
| 1780630004 | St Paul Place Specialists, Inc. | Internal Medicine | 301 St. Paul Place, Heart Center - Burk Bldg 310, Baltimore, MD 21202-2102 | 2006-05-26 |
| 1497707681 | St Paul Place Specialists, Inc. | Emergency Medicine | 301 St. Paul Place, Baltimore, MD 21202-2102 | 2006-05-16 |
| Street Address |
301 SAINT PAUL PL #402 - NEUROLOGY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980305 | Debra A Vachon | Colon & Rectal Surgery | 301 Saint Paul Pl, Ste 400, Baltimore, MD 21202-2102 | 2005-05-27 |
| 1861046567 | Rebecca Whitlock Grochowski | Nurse Practitioner | 301 Saint Paul Pl, Dept of Med, Baltimore, MD 21202-2165 | 2019-07-31 |
| 1891348660 | Sarah Olsen Gallo | Nurse Practitioner | 301 Saint Paul Pl, Baltimore, MD 21202-2165 | 2019-07-22 |
| 1124423090 | Janene Michelle Levy | Nurse Practitioner | 301 Saint Paul Pl, Suite 509, Baltimore, MD 21202-2102 | 2014-11-04 |
| 1790180669 | Lucy King | Pharmacist | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-11-04 |
| 1235534645 | Nicole Bonanni | Physician Assistant | 301 Saint Paul Pl, The Orthopedic Specialty Hospital, Baltimore, MD 21202-2102 | 2014-10-28 |
| 1952705352 | Amanda Boyer | Physician Assistant | 301 Saint Paul Pl, Er Dept., Baltimore, MD 21202-2102 | 2014-10-14 |
| 1083014922 | Matthew Charles Perry | Pharmacist | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-08-28 |
| 1396153946 | Christopher Mathews | Nurse Anesthetist, Certified Registered | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-07-28 |
| 1891102067 | Ryan Thomas Carter | Nurse Anesthetist, Certified Registered | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2014-07-18 |
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| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104280957 | Brent Earls | Anesthesiology | 601 N Caroline St # 3062, Baltimore, MD 21287-0006 | 2016-04-07 |
| 1801213863 | Jonathan Sean Woo | Anesthesiology | 22 South Greene Street, Room S11c00, Anestheisology, Baltimore, MD 21201 | 2014-03-27 |
| 1396779427 | University of Maryland Anesthesiology Associates,p.a. | Anesthesiology | 22 S Greene Street, Baltimore, MD 21201 | 2006-07-11 |
| 1922582980 | Johns Hopkins University | Anesthesiology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-09-17 |
| 1528578333 | Medstar Medical Group Anesthesiology LLC | Anesthesiology | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2017-10-06 |
| 1861755514 | Alexander Lee Matz | Anesthesiology | 900 Caton Ave, Baltimore, MD 21229-5201 | 2012-06-18 |
| 1922395839 | Tina Le Doshi | Anesthesiology | 601 N Caroline St, Suite 3062, Baltimore, MD 21287-0006 | 2011-06-30 |
| 1497047641 | Sundaram Krishnan Chettiar | Anesthesiology | 3449 Wilkens Ave Ste 300, Baltimore, MD 21229-5218 | 2011-05-06 |
| 1841595451 | Q O L Pain Management Center LLC | Anesthesiology | 3102 N Hilton St, Baltimore, MD 21216-1450 | 2011-01-13 |
| 1710117395 | Union Memorial Hospital | Anesthesiology | 201 E University Pkwy, 33rd Street Pob, Suite 425, Baltimore, MD 21218-2829 | 2009-07-17 |
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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.