MARY JACOB PHILIP (NPI# 1225397995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225397995 |
| Entity Type | Individual |
| Full Name | MARY JACOB PHILIP |
| Credential | MD |
| Practice Address |
600 N Wolfe St Baltimore MD 21287-0005 |
| Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4109555000 |
| Mailing Telephone | 4109336421 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D83050 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE | D83050 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6th Ave and Spruce Street, West Reading, PA 196111428 | 6109885455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144838749 | Mary Philip | Occupational Therapy Assistant | 511 Sperry Blvd, New Hyde Park, NY 11040-3842 | 2020-07-20 |
| 1467831040 | Mary Philip | Nurse Practitioner | 13203 Chattanooga Ln, Orlando, FL 32837-4005 | 2015-05-28 |
| 1356849905 | Mary N/a Philip | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-01-29 |
| 1851405328 | Mary Philip | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1023 | 2006-08-19 |
| Street Address |
600 N WOLFE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354821 | Earl Randy Craven | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-05-31 |
| 1487255279 | Elizabeth Dejaeghere | Physician Assistant | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-06 |
| 1386245751 | Johns Hopkins University | Psychiatry & Neurology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-03 |
| 1770182560 | Abdulrahman Mohammed Gomaa Abodarahim | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-22 |
| 1760081079 | Jose Daniel Llaque Salazar | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-19 |
| 1891302402 | Everardo Hernandez Quintela | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-09-28 |
| 1891307997 | Abby Holland Keen | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-19 |
| 1184235004 | Molly Ruhl | Physician Assistant | 600 N Wolfe St, Halsted 600, Baltimore, MD 21287-2128 | 2020-08-13 |
| 1083224596 | Johns Hopkins University | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-10 | |
| 1265041032 | Carlos Fairen Oro | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| Find all providers in zip 21287 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| 1639556467 | Samarth Gola | Radiology | 601 N Caroline St Ofc 3014, Baltimore, MD 21287-0006 | 2015-04-30 |
| 1386059400 | Daniel Ryan | Radiology | 600 N. Wolfe Street Phipps Bldg, Room B-100, Baltimore, MD 21287 | 2014-06-26 |
| 1538415633 | Ammar K. Al-ibraheemi | Radiology | 601 N Wolfe St Rm 3235a, Baltimore, MD 21287-0004 | 2012-07-26 |
| 1609165042 | Sunpreet Singh Tandon | Radiology | 4940 Eastern Ave Fl 1, Baltimore, MD 21224-2735 | 2011-04-06 |
| 1639476948 | Byung Chul Yoon | Radiology | 1620 Mcelderry St Apt 515, Baltimore, MD 21205 | 2011-02-23 |
| 1730484619 | Howard Allen Davidov | Radiology | 7221 Denberg Rd, Baltimore, MD 21209-1038 | 2011-01-24 |
| 1306075056 | Elnasif Arrayeh | Radiology | 601 N Caroline St # 3235a, Baltimore, MD 21287-0006 | 2009-07-02 |
| 1922234558 | Kristin K. Porter | Radiology | Radiology Department Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287-0001 | 2009-06-10 |
| 1386884302 | Elizabeth Kristine Weihe | Radiology | 601 N Caroline St # 3142, Baltimore, MD 21287-7406 | 2009-03-03 |
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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.