DR. GRACE GIA-LING WONG CASSERLY (NPI# 1154735587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154735587 |
| Entity Type | Individual |
| Full Name | DR. GRACE GIA-LING WONG CASSERLY |
| Credential | MD |
| Practice Address |
1701 Twin Springs Rd Halethorpe MD 21227 |
| Mailing Address |
2 Upper Ragsdale Dr Bldg A Monterey CA 93940-5736 |
| Practice Telephone | 4107375000 |
| Mailing Telephone | 8313333040 |
| Mailing Fax Number | 8318863639 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A169212 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | D0083021 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 W Belvedere Ave, Baltimore, MD 212155216 | 4106019386 | |
| 2 Upper Ragsdale Dr Bldg A, Monterey, CA 939405736 | 8313333040 | 8318863639 |
| Street Address |
1701 TWIN SPRINGS RD |
| City | HALETHORPE |
| State | MD |
| Zip Code | 21227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068903 | Ifeoluwa Y Omitowoju | Pediatrics | 1701 Twin Springs Rd, Kaiser Permanente South Baltimore County Hub, Halethorpe, MD 21227-3553 | 2005-10-26 |
| 1689212771 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-12-19 |
| 1891345674 | Jennifer Fullem | Family Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-09-13 |
| 1295397305 | Abolanle Busirat Ahmed-orepitan | Family Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-06-28 |
| 1730743071 | Richard Saunders | Specialist/Technologist, Other | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-04-23 |
| 1245706092 | Thomas Closson | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-10-19 |
| 1134607765 | Christopher John Miller | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-08-06 |
| 1053899708 | Kathryn Mundi | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-08-04 |
| 1174039044 | Antoinette Gupta | Specialist/Technologist, Other | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-12-14 |
| 1568971968 | Andrew Chi | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| 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 |
|---|---|---|---|---|
| 1386750222 | Emil G Thattassery | Internal Medicine | 1701 Twin Springs Road, Halethorpe, MD 21227 | 2006-08-22 |
| 1093179806 | Adeel Khalid Choudhary | Internal Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2016-04-07 |
| 1720473960 | Chamil Vidusha Madushan Jinadasa | Internal Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2015-04-04 |
| 1619126711 | Kalonji Collins | Internal Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2008-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528353 | Barry Whitcomb Wolcott | Internal Medicine | 7353 Oskaloosa Dr, Derwood, MD 20855-2647 | 2020-11-04 |
| 1891396107 | Medacute Care LLC | Internal Medicine | 313 Skyview Dr, Cumberland, MD 21502-1929 | 2020-11-03 |
| 1689272262 | Marsha Seidelman, M.d., LLC | Internal Medicine | 10301 Georgia Ave Ste 304, Silver Spring, MD 20902-5020 | 2020-10-15 |
| 1770190647 | Medical Maryland Star Choice LLC | Internal Medicine | 2308 Pot Spring Rd, Luthvle Timon, MD 21093-2726 | 2020-09-25 |
| 1538774609 | Benchmark Medical LLC | Internal Medicine | 904 Stags Head Rd, Towson, MD 21286-1459 | 2020-09-15 |
| 1760090294 | Outreach Recovery II, LLC | Internal Medicine | 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 | 2020-07-21 |
| 1699398008 | Tb Medical | Internal Medicine | 10753 Falls Rd Ste 225, Lutherville, MD 21093-4597 | 2020-05-20 |
| 1073136693 | Bernard Willis Parker | Internal Medicine | 15239 Briarcliff Manor Way, Burtonsville, MD 20866-1662 | 2020-05-19 |
| 1134742695 | Dura Internal Medicine Limited Liability Company | Internal Medicine | 15225 Shady Grove Rd Ste 103, Rockville, MD 20850-3252 | 2020-05-19 |
| 1457973026 | Zeus Primary Care Associates LLC | Internal Medicine | 4701 Randolph Rd Ste 209a, Rockville, MD 20852-2257 | 2020-05-17 |
| Find all providers with the same taxonomy | ||||
| City | HALETHORPE |
| Zip Code | 21227 |
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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.