TERAGA GROSS


Address: 5201 Ivanhoe Ave, Baltimore, MD 21212-4322
Phone: 4436273083

TERAGA GROSS (NPI# 1215558473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215558473
Entity Type Individual
Full Name TERAGA GROSS
Practice Address 5201 Ivanhoe Ave
Baltimore
MD 21212-4322
Practice Telephone 4436273083
Mailing Telephone 4436273083
Enumeration Date 2020-04-29
Last Update Date 2020-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
Other Service Providers

Office Location

Street Address 5201 IVANHOE AVE
City BALTIMORE
State MD
Zip Code 21212-4322

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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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1043708902 Brandi Campbell Specialist 2 Brucetown Ct, Baltimore, MD 21228-2509 2018-04-26
1326585837 Sheila Arrington Specialist 2429 Saint Paul St Apt 1, Baltimore, MD 21218-5108 2017-01-22
1184091126 Ife Semper Specialist 2141 Mount Holly St, Baltimore, MD 21216-2430 2015-08-25
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1417587726 Deidre Lanae Bowman Specialist 5441 Baltimore National Pike, Baltimore, MD 21229-2102 2020-01-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1073138285 Andria Jackson Specialist 9560 Marlboro Pike Ste 105, Upper Marlboro, MD 20772-3770 2020-06-12
1467074849 Martha Tanesha Hines Specialist 3407 Fort Meade Rd Ste 14, Laurel, MD 20724-2003 2020-05-08
1275168312 Barry Staten Specialist 2323 Shadyside Ave, Suitland, MD 20746-4827 2020-03-09
1790316206 Antjuan Mandwell Bunn Specialist 8147 Baltimore Ave Ste C, College Park, MD 20740-2492 2020-02-03
1427695717 Lori A Donoho Specialist 6378 Coventry Way, Clinton, MD 20735-2256 2019-12-05
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Competitor

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City BALTIMORE
Zip Code 21212

Improve Information

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Dataset Information

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.

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