ABSOLUTECARE OF BALTIMORE, LLC (NPI# 1215577762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215577762 |
Entity Type | Organization |
Organization Name | ABSOLUTECARE OF BALTIMORE, LLC |
Practice Address |
1040 Park Ave Ste 200 Baltimore MD 21201-5634 |
Practice Telephone | 4437380300 |
Mailing Telephone | 4437380300 |
Enumeration Date | 2020-01-13 |
Last Update Date | 2020-01-13 |
Authorized Official Name | THOMAS J TRENTLY (CFO) |
Authorized Official Telephone | 4042314431 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
AbsoluteCARE of Baltimore Infusion | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508295726 | Absolutecare of Baltimore, LLC | Family Medicine | 1040 Park Ave, Suite 200, Baltimore, MD 21201 | 2013-11-07 |
Street Address |
1040 PARK AVE STE 200 |
City | BALTIMORE |
State | MD |
Zip Code | 21201-5634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659340230 | Thomas L Edmondson | Internal Medicine | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2006-03-16 |
1558889253 | Joshua Liu | Physician Assistant | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-09-01 |
1275050759 | Nimita Sharma | Pharmacist | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-25 |
1851817431 | Baltimore Medical System Inc | Clinic/Center | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-16 |
1710426069 | Katherine Pretl | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-20 |
1619415502 | Ella Histand | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-10 |
1295197176 | Elizabeth Brolund | Social Worker | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2016-03-22 |
1528431020 | Mary Kathleen Haber | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2015-11-05 |
1386022721 | Kelli Mccallum | Nurse Practitioner | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2015-05-18 |
1053799635 | Anisha Hampton | Nurse Practitioner | 1040 Park Ave Ste 200, Baltimore, MD 21201 | 2015-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
1265071278 | Marketing and Medical Services LLC | Family Medicine | 3001 S Hanover St Ste 201, Baltimore, MD 21225-1233 | 2019-12-23 |
1871134783 | Tysheka Cephas | Family Medicine | 5951 Schering Rd, Baltimore, MD 21206-3144 | 2019-10-02 |
1740712330 | Julia Sarah Maria Silva | Family Medicine | 29 S Paca St Dept Of, Baltimore, MD 21201-1771 | 2017-04-01 |
1275071375 | Martina P Callum M.d., LLC | Family Medicine | 1900 E Northern Pkwy Ste 3a, Baltimore, MD 21239-2113 | 2017-02-08 |
1992134738 | Your Health Network, Inc. | Family Medicine | 3000 Falls Rd, Suite 1, Baltimore, MD 21211-2435 | 2013-11-02 |
1124370788 | Phung Lieu Levin | Family Medicine | 920 Newington Ave, Baltimore, MD 21217-4631 | 2012-10-08 |
1912264441 | Katherine Stolarz | Family Medicine | 9101 Franklin Square Dr Ste 300, Baltimore, MD 21237-3966 | 2012-04-22 |
1760758684 | Peter Michael Burkill | Family Medicine | 6535 N Charles St Ste 100, Baltimore, MD 21204-5828 | 2012-03-25 |
1083997860 | Manisha A Sharma | Family Medicine | 733 W 40th St, Suite 200, Baltimore, MD 21211-2112 | 2011-09-28 |
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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.