GREATER BALTIMORE MEDICAL CENTER, INC. (NPI# 1235167297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235167297 |
| Entity Type | Organization |
| Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
| Practice Address |
6569 N Charles St Ste 205 Baltimore MD 21204-6831 |
| Mailing Address |
6701 N Charles Street S Chapman Building Suite 102 Baltimore MD 21263-6808 |
| Practice Telephone | 4438493051 |
| Mailing Telephone | 4438496775 |
| Mailing Fax Number | 4438493138 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | JOHN ELLIS (SENIOR VP CORPORATE STRATEGY) |
| Authorized Official Telephone | 4438493284 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER BALTIMORE MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST REGIONAL | S124 | 01 |
| MD | 049903000 | 05 | |
| MD | CAREFIRST MARYLAND | KJ44GB | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474853 | Greater Baltimore Medical Center, Inc. | Clinic/Center | 63 E Padonia Rd Ste 125, Timonium, MD 21093-2306 | 2020-03-31 |
| 1790267219 | Greater Baltimore Medical Center, Inc. | Optometrist | 6569 N Charles St Ste 505, Baltimore, MD 21204-5809 | 2018-08-31 |
| 1114257144 | Greater Baltimore Medical Center, Inc. | Medical Genetics | 6701 N Charles St Unit 23, Baltimore, MD 21204-6808 | 2010-01-14 |
| 1164675906 | Greater Baltimore Medical Center, Inc. | Occupational Therapist | 6569 N Charles St Ste 305, Baltimore, MD 21204-5817 | 2008-10-24 |
| 1760625883 | Greater Baltimore Medical Center, Inc. | Neurological Surgery | 6535 N Charles St Ste 600, Baltimore, MD 21204-5827 | 2009-04-20 |
| 1194963496 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6535 N Charles St, Ste 125, Baltimore, MD 21204-5826 | 2009-01-26 |
| 1194973396 | Greater Baltimore Medical Center, Inc. | Audiologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-09-03 |
| 1568624856 | Greater Baltimore Medical Center, Inc. | Speech-Language Pathologist | 6535 N Charles St, Ste 250, Baltimore, MD 21204-5826 | 2008-06-27 |
| 1689702227 | Greater Baltimore Medical Center, Inc. | Dietitian, Registered | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-03-02 |
| 1467589705 | Greater Baltimore Medical Center, Inc. | Family Medicine | 6701 N Charles St, Baltimore, MD 21204-6808 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER BALTIMORE MEDICAL CENTER, INC. | 6701 N Charles St, Baltimore, MD 21204-6808 |
| Street Address |
6569 N CHARLES ST STE 205 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689052888 | Podiatry Associates, P.a. | Podiatrist | 6569 N Charles St, Suite 702, Baltimore, MD 21204-6831 | 2015-05-08 |
| 1659793123 | Marisa Sanders | Speech-Language Pathologist | 6569 N Charles St, Ppw, Suite 401, Baltimore, MD 21204-6831 | 2014-01-17 |
| 1831511625 | Melissa A Bidlack | Speech-Language Pathologist | 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 | 2014-01-13 |
| 1043646847 | Daniel A Sherwood | Speech-Language Pathologist | 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 | 2013-09-25 |
| 1568898070 | Jessica Silinonte | Speech-Language Pathologist | 6569 N Charles St, Physicians Pavilion West, Suite 401, Baltimore, MD 21204-6831 | 2013-09-17 |
| 1225463821 | Greater Baltimore Plastic and Hand Surgery Associates, LLC | Surgery | 6569 N Charles St, Suite 706, Baltimore, MD 21204-6831 | 2013-09-13 |
| 1942575964 | Maryland Prosthodontic Associates, PC | Dentist | 6569 N Charles St, Physicians Pavilion West, Suite 601, Baltimore, MD 21204-6831 | 2012-03-09 |
| 1164739678 | Sandra D. Quartner, M.d., Pa | Specialist | 6569 N Charles St, Ste 304, Baltimore, MD 21204-6831 | 2010-09-03 |
| 1780997593 | Ari Hayim Elman | Internal Medicine | 6569 N Charles St, Suite 205, Baltimore, MD 21204-6831 | 2010-07-21 |
| 1346488343 | Mid Atlantic Eye, LLC | Ophthalmology | 6569 N Charles St, Gbmc Pavilion West, Suite 505, Baltimore, MD 21204-6831 | 2009-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616873 | Christian Rolfo | Internal Medicine | 22 S Greene St # S9d, Baltimore, MD 21201-1591 | 2018-04-18 |
| 1124344692 | William Brian Dalton | Internal Medicine | Johns Hopkins Sidney Kimmel Ctr, 1650 Orleans St. Crb1 191, Baltimore, MD 21287-0001 | 2010-04-08 |
| 1134381692 | Cesar Augusto Santa-maria | Internal Medicine | 1650 Orleans St # 155, Baltimore, MD 21287-0013 | 2008-06-26 |
| 1457495483 | Mei Tang | Internal Medicine | 6569 N Charles St Ste 201, Baltimore, MD 21204-6831 | 2007-02-15 |
| 1124185236 | Michele Kim Evans | Internal Medicine | 5600 Nathan Shock Dr, Mailbox 09 National Institute On Aging, Baltimore, MD 21224-6825 | 2007-01-02 |
| 1326159674 | Louise B Grochow | Internal Medicine | Johns Hopkins Hosp Oncology Ctg C/o Martin Abeloff, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2006-08-31 |
| 1760411326 | Ranee Mehra | Internal Medicine | 1550 Orleans St, Crb II 5m.43, Baltimore, MD 21287-0014 | 2006-07-03 |
| 1538102603 | Judy Lyn Hetherington | Internal Medicine | 10753 Falls Road Pavilion II, Baltimore, MD 21093 | 2006-06-14 |
| 1992761050 | Ivan Marques Borrello | Internal Medicine | 1650 Orleans St, Crb-1 Rm 453, Baltimore, MD 21263-0001 | 2006-04-25 |
| 1972087781 | Johns Hopkins University | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-09-18 |
| 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.