DR. DONTESE JAMINE NICHOLSON (NPI# 1215180328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215180328 |
| Entity Type | Individual |
| Full Name | DR. DONTESE JAMINE NICHOLSON |
| Credential | MD |
| Practice Address |
6820 Hospital Dr Ste 302 Baltimore MD 21237-4352 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza I, Suite 501 Hunt Valley MD 21031-1002 |
| Practice Telephone | 4106822823 |
| Practice Fax Number | 4106829551 |
| Mailing Telephone | 4106822823 |
| Mailing Fax Number | 4106829551 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2015-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
D0074632 | MD | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
D0074632 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
6820 HOSPITAL DR STE 302 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023018074 | Kannan Manickam | Urology | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 | 2005-07-29 |
| 1962848325 | Lifebridge Sports and Rehabilitation, LLC | Clinic/Center | 6820 Hospital Dr, Suite 300, Baltimore, MD 21237-4352 | 2013-05-13 |
| 1376888792 | Center for Pain Management,llc | Pain Medicine | 6820 Hospital Dr, Suite302, Baltimore, MD 21237-4352 | 2012-12-11 |
| 1619221801 | Asc Development Company, LLC | Clinic/Center | 6820 Hospital Dr, Suite 302, Baltimore, MD 21237-4352 | 2012-11-09 |
| 1679871701 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 6820 Hospital Dr, Suite 200, Baltimore, MD 21237-4352 | 2011-03-15 |
| 1912176702 | Jayant Uberoi | Urology | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 | 2008-02-26 |
| 1386776425 | Garrick Russell Smith | Nurse Practitioner | 6820 Hospital Dr, Suite 302, Baltimore, MD 21237-4352 | 2007-03-12 |
| 1851494777 | Anup R Shah | Urology | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 | 2006-09-06 |
| 1407808991 | William T. Dowling | Specialist | 6820 Hospital Dr, Ste 210, Baltimore, MD 21237 | 2006-05-16 |
| 1194781617 | Wendy S. Sullivan | Physician Assistant | 6820 Hospital Dr, Suite 210, Baltimore, MD 21237-4352 | 2006-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112650 | Center for Pain Management, LLC | Pain Medicine | 3407 Wilkens Ave Ste 240, Baltimore, MD 21229-5222 | 2019-12-23 |
| 1245596139 | Harrison Linder | Pain Medicine | 345 Saint Paul St Fl 4, Baltimore, MD 21202-2123 | 2012-04-05 |
| 1376888792 | Center for Pain Management,llc | Pain Medicine | 6820 Hospital Dr, Suite302, Baltimore, MD 21237-4352 | 2012-12-11 |
| 1366470965 | Rhonda Zuckerman | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-30 |
| 1972531895 | Bradford Winters | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-29 |
| 1750319877 | Neal Sakima | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-29 |
| 1902834278 | Kayode Williams | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-28 |
| 1851335848 | Karen Lindeman | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-16 |
| 1881634574 | Edward John Norris | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-08 |
| 1447290523 | Eric Jackson | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-07 |
| 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.