JEFFREY MICHAEL RICHARDSON (NPI# 1194767343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194767343 |
| Entity Type | Individual |
| Full Name | JEFFREY MICHAEL RICHARDSON |
| Credential | M.D. |
| Practice Address |
2112 Dundalk Ave Baltimore MD 21222-3714 |
| Mailing Address |
3100 Wyman Park Dr Baltimore MD 21211-2803 |
| Practice Telephone | 4102884800 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D36430 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 285431700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760775845 | Jeffrey Ryan Richardson | Dentist | 3401 W Esplanade Ave S Ste 2, Metairie, LA 70002-3423 | 2011-05-23 |
| 1568454171 | Jeffrey R Richardson | Obstetrics & Gynecology | 4482 Market St, Ste 410, Ventura, CA 93003-7780 | 2005-08-19 |
| 1861494346 | Jeffrey Francis Richardson | Specialist | 5780 Peachtree Dunwoody Rd Ne, Suite 295, Atlanta, GA 30342-1554 | 2005-08-15 |
| 1548261977 | Jeffrey B Richardson | Dermatology | 2333 Ring Rd, Elizabethtown, KY 42701-9162 | 2005-08-09 |
| 1528621380 | Jeffrey Kiel Richardson | Counselor | 204 Hampton Dr, Venice, CA 90291-8633 | 2019-04-17 |
| 1932507126 | Jeffrey Wayne Richardson | Counselor | 135 Washington St, Taunton, MA 02780-2582 | 2014-12-20 |
| 1386988293 | Jeffrey D Richardson | Counselor | 757 S Main St, Suite 8, Fond Du Lac, WI 54935-5739 | 2012-11-15 |
| 1245548007 | Jeffrey Edward Richardson | Occupational Therapist | 1801 Alabama Ave, Great Lakes, IL 60088-4246 | 2010-09-15 |
| 1316089527 | Jeffrey Richardson | Social Worker | 1925 Greenspring Dr, Timonium, MD 21093-4128 | 2007-02-13 |
| 1356453278 | Jeffrey D Richardson | Physical Therapist | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2006-08-31 |
| Street Address |
2112 DUNDALK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21222-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535452 | Beth Ann Waddell-vandegeijn | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2005-06-01 |
| 1053954750 | Regine Beliard Veillard | Pharmacist | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2019-10-25 |
| 1760036834 | Meghan Estock Roman | Registered Nurse | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2019-07-27 |
| 1780069658 | Nicole Maffia | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2015-07-21 |
| 1740664341 | Kathleen Bocskor | Registered Nurse | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2015-07-13 |
| 1184915498 | Brendan Day | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2011-04-21 |
| 1770882631 | Ayesha Anwar Butt | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2011-03-17 |
| 1255415873 | Swati D Phatak | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-10-24 |
| 1033213301 | Susan T Shultz | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-09-08 |
| 1497859763 | Anthony J Harrell | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| Find all providers in zip 21222 | ||||
| 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 |
|---|---|---|---|---|
| 1184272296 | Federal Hill Pediatric Center | Internal Medicine | 724 Light St Ste A, Baltimore, MD 21230-3813 | 2019-09-02 |
| 1861051096 | Intermed Associates Ipa, LLC | Internal Medicine | 9106 Philadelphia Rd Ste 214, Baltimore, MD 21237-4333 | 2019-06-11 |
| 1720540925 | Johns Hopkins Community Physicians | Internal Medicine | 5210 Eastern Ave Ste 127, Baltimore, MD 21224-2719 | 2019-04-05 |
| 1013488188 | Atlantic Medical Associates, LLC | Internal Medicine | 6717 Park Heights Ave Lowr Level, Baltimore, MD 21215-2443 | 2018-12-16 |
| 1700386109 | Burke Medical, P.C. | Internal Medicine | 8 Market Pl Ste 300, Baltimore, MD 21202-4113 | 2018-02-13 |
| 1538695598 | Hisham Ahmed Farhan | Internal Medicine | 827 Linden Ave # B-2043, Baltimore, MD 21201-4606 | 2017-05-11 |
| 1538692652 | Thi Khuc | Internal Medicine | 22 S Greene St # N3w156, Baltimore, MD 21201-1544 | 2017-04-05 |
| 1053868646 | Apurva Sharma | Internal Medicine | 600 N Wolfe St Blalock 545, Baltimore, MD 21287-1766 | 2016-09-01 |
| 1053761031 | Seyed Mohammad Hodanazari | Internal Medicine | 727 W 40th St # A215, Baltimore, MD 21211-2105 | 2016-06-21 |
| 1568824522 | Alaina Christine Chodoff | Internal Medicine | 2024 E Monument St Fl 2, Baltimore, MD 21287-0028 | 2016-03-28 |
| Find all providers in BALTIMORE | ||||
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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.