MEDSTAR MEDICAL GROUP II LLC (NPI# 1184046187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184046187 |
| Entity Type | Organization |
| Organization Name | MEDSTAR MEDICAL GROUP II LLC |
| Practice Address |
5601 Loch Raven Blvd Russell Morgan Bldg 3rd Fl Baltimore MD 21239-2945 |
| Mailing Address |
2000 15th St N Ste. 600 Arlington VA 22201-2683 |
| Practice Telephone | 4434445606 |
| Mailing Telephone | 7035581400 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | STEPHANIE SCHNEIDER (VP) |
| Authorized Official Telephone | 7035581403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1720694490 | Medstar Medical Group II LLC | Health Educator | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-09-18 |
| 1437765104 | Medstar Medical Group II LLC | Health Educator | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2020-09-18 |
| 1154937829 | Medstar Medical Group II LLC | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-18 |
| 1770198301 | Medstar Medical Group II LLC | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2020-09-10 |
| 1538704416 | Medstar Medical Group II LLC | Clinic/Center | 3800 Reservoir Rd Nw, 1 Bles, Washington, DC 20007-2113 | 2019-11-14 |
| 1093368409 | Medstar Medical Group II LLC | Psychiatry & Neurology | 5601 Loch Raven Blvd Ste 406, Baltimore, MD 21239-2949 | 2019-07-24 |
| 1215580618 | Medstar Medical Group II LLC | Psychiatry & Neurology | 4151 Bladensburg Rd, Colmar Manor, MD 20722-1928 | 2019-07-24 |
| 1053874321 | Medstar Medical Group II LLC | Psychiatry & Neurology | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2019-04-12 |
| 1013489368 | Medstar Medical Group II LLC | Psychiatry & Neurology | 3305 N Leisure World Blvd, Silver Spring, MD 20906-1367 | 2018-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MedStar Medical Group II LLC | 10980 Grantchester Way, Columbia, Maryland 20708 |
| Street Address |
5601 LOCH RAVEN BLVD RUSSELL MORGAN BLDG 3RD FL |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
| 1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
| 1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
| 1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
| 1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
| 1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
| 1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
| 1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
| 1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
| 1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
| Find all providers in zip 21239 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1326574799 | Marife Ann Ortega Teague | General Practice | 226 E 39th St, Baltimore, MD 21218 | 2017-05-04 |
| 1295199826 | Michael Rozak | General Practice | 3001 S Hanover St Dept Of, Baltimore, MD 21225-1233 | 2016-04-10 |
| 1114380433 | Ryan Sutherland | General Practice | Diagnostic Radiology and Nuclear Medicine, 22 S Greene St, Baltimore, MD 21201 | 2016-04-04 |
| 1386028900 | Christopher Kircher | General Practice | 1016 S Robinson St, Baltimore, MD 21224-4937 | 2015-07-14 |
| 1437549466 | Health Alliance Associates | General Practice | 13 Hamilton Street, Baltimore, MD 21202-2120 | 2015-01-29 |
| 1952707903 | Bannister Lee Raines Jr. | General Practice | 1325 Bedford Ave Unit 21499, Baltimore, MD 21282-7525 | 2014-11-18 |
| 1437589868 | Peoples Community Health Center, Inc. | General Practice | 1734 Maryland Avenue, Baltimore, MD 21201 | 2013-11-21 |
| 1417245101 | Matthew Feeley | General Practice | 615 N Wolfe St Ste Wb602, Baltimore, MD 21205-2103 | 2011-07-14 |
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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.