DRS HICKEN CRANLEY TAYLOR PA (NPI# 1154401396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154401396 |
| Entity Type | Organization |
| Organization Name | DRS HICKEN CRANLEY TAYLOR PA |
| Practice Address |
3455 Wilkens Ave Ste 208 Baltimore MD 21229-5265 |
| Practice Telephone | 4106444320 |
| Mailing Telephone | 4106444320 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | JEAN M COLANDREA (PRESIDENT) |
| Authorized Official Telephone | 4106444320 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | RAILROAD MEDICARE | CH0003 | 01 |
| MD | BLUE SHIELD | KF67H1 | 01 |
| DC | GHI | W227 | 01 |
| Street Address |
3455 WILKENS AVE STE 208 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821102302 | Joseph D Nuckols | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-08-19 |
| 1598831976 | Hct Pathology Services LLC | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-11-28 |
| 1245320407 | Jean M Colandrea | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-10-16 |
| 1689766461 | Weimin R. Zhu | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-29 |
| 1356432694 | Dena M Selby | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-28 |
| 1881794014 | Thomas Enelow | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-25 |
| 1700984325 | Jeffrey L Seibel | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-20 |
| 1952409500 | Melissa K Buick | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-20 |
| 1295833853 | Deborah A Belchis | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-20 |
| 1124122676 | Deepa Dutta | Pathology | 3455 Wilkens Ave Ste 208, Baltimore, MD 21229-5265 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245642511 | Yang Zhang | Pathology | 401 N Broadway St Ste 2242, Baltimore, MD 21287 | 2014-05-21 |
| 1720321375 | Alexander Albert Berrebi | Pathology | 1725 S Hanover St, Baltimore, MD 21230-4813 | 2013-04-02 |
| 1881950475 | Kevin Michael Waters | Pathology | 600 N Wolfe St Pathology, Baltimore, MD 21287-0001 | 2012-04-09 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| 1790983542 | Brent Alan Orr | Pathology | The Johns Hopkins Hospital Department of Pathology, 600 North Wolfe Street, Baltimore, MD 21287-0005 | 2007-07-03 |
| 1306997804 | Jonathan Cuda | Pathology | Johns Hopkins Hospital Department of Pathology, 600 N. Wolfe St. Pathology Bldg, Rm 401, Baltimore, MD 21287 | 2007-01-13 |
| 1063562726 | Wenle Wang | Pathology | The John Hopkins Hospital, 401 N. Broadway, Weinberg Bldg Suit 2242, Baltimore, MD 21231 | 2007-01-12 |
| 1457401507 | Terina Swanson Chen | Pathology | Good Samaritan Hospital, Pathology Department, 5601 Loch Raven Boulevard, Baltimore, MD 21239-2995 | 2007-01-11 |
| 1407945330 | Orly C Korat | Pathology | 1901 Sulphur Spring Rd, Department of Pathology, Baltimore, MD 21227-2943 | 2006-10-11 |
| 1891753638 | Ruth Y Peng | Pathology | 345 St. Paul Place, 7th Floor, Pathology Dept., Baltimore, MD 21202 | 2006-05-02 |
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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.