DR. LISA MARIE FAULCON


Address: 720 Rutland Ave, Ross 1125, Dept of Hematology, Baltimore, MD 21205-2109
Phone: 4109556132

DR. LISA MARIE FAULCON (NPI# 1235336124) 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) 1235336124
Entity Type Individual
Full Name DR. LISA MARIE FAULCON
Other Name LISA MARIE WILLIAMS
Credential MD
Practice Address 720 Rutland Ave
Ross 1125, Dept of Hematology
Baltimore
MD 21205-2109
Practice Telephone 4109556132
Mailing Telephone 4109556132
Enumeration Date 2007-07-02
Last Update Date 2011-12-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
946665 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 720 RUTLAND AVE
ROSS 1125, DEPT OF HEMATOLOGY
City BALTIMORE
State MD
Zip Code 21205-2109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013978287 Jayme E Locke Transplant Surgery 720 Rutland Ave, Ross Research Building, Room765, Baltimore, MD 21205 2006-03-29
1598129835 Melissa Chen Surgery 720 Rutland Ave, Ross 771, Baltimore, MD 21205-2109 2016-04-13
1760843627 Denise Marie Bekkouri Nurse Practitioner 720 Rutland Ave, Johns Hopkins Pediatric Hematology, Ross 1125, Baltimore, MD 21205-2109 2016-03-18
1497157770 Charbel Chalouhy Transplant Surgery 720 Rutland Ave, Ross 765, Baltimore, MD 21205-2109 2014-09-18
1154681351 Kate Knott Nurse Practitioner 720 Rutland Ave, Turner 36, Baltimore, MD 21205-2109 2012-05-22
1538435573 Christopher B Umbricht Internal Medicine 720 Rutland Ave, Baltimore, MD 21205-2109 2012-03-23
1891074233 Lydia Pecker Pediatrics 720 Rutland Ave, Baltimore, MD 21205 2011-08-16
1023328457 Daniela Cihakova Pathology 720 Rutland Ave, Ross Building 648, Baltimore, MD 21205-2109 2010-10-19
1184932428 Elaina Patrice Weldon Nurse Practitioner 720 Rutland Ave, Baltimore, MD 21205-2109 2010-09-21
1700104973 David Nauen Pathology 720 Rutland Ave, Ross Building 558, Baltimore, MD 21205-2109 2010-05-12
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NPI Name Taxonomy Address Enumeration
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1871158592 Rachel Samantha Bronheim Student in an Organized Health Care Education/Training Program 610 N Caroline St, 5th Floor, Baltimore, MD 21205 2019-05-08
1700342250 Ruth Leeanna Williams Social Worker 504 N. Caroline Street, Baltimore, MD 21205 2019-02-20
1174017032 Anna Kathryn Chassevent Genetic Counselor, MS 801 N. Broadway, Baltimore, MD 21205 2018-06-14
1588115653 Redeem Healthcare and Medical System Inc Case Management 917 North Caroline Street, Baltimore, MD 21205 2016-10-24
1013334929 Crystal Diane Salcido Psychiatry & Neurology 855 N Wolfe St Ste 300, Baltimore, MD 21205 2014-03-28
1487088464 Laura Mitchell Nurse Practitioner 707 N. Broadway Ave, Baltimore, MD 21205 2013-08-27
1477992410 Ferbet Take Care Health Maryland, P.C. Nurse Practitioner 900 N. Washington Street, Baltimore, MD 21205 2013-06-24
1225370570 Amena Smith Fine Pediatrics Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 2013-03-25
1356695993 Kalpana Prasad Student in an Organized Health Care Education/Training Program 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 2012-11-05
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Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851730097 Abdulhafiz Zakieh Pediatrics 1800 Orleans St Ste 11379, Baltimore, MD 21287-0010 2013-06-20
1568605467 Challice L Bonifant Pediatrics 1650 Orleans St # 242, Baltimore, MD 21287-0013 2009-04-08
1023218377 Francis Jay Mussai Pediatrics Pediatric Oncology Johns Hopkins Hospital, Cmsc 800, 600 N. Wolfe Street, Baltimore, MD 21287-0001 2007-07-24
1427194661 Meredith Chuk Pediatrics Johns Hopkins Hospital 600 North Wolfe St, Cmsc 800, Baltimore, MD 21287-0001 2007-01-29
1093287286 Kathleen Kaspar Pediatrics 1800 Orleans St, Baltimore, MD 21287-0010 2018-12-28
1992192249 Michael Hoffmann Chan Pediatrics 1800 Orleans St Ste 11379, Baltimore, MD 21287-0010 2015-04-23
1679919948 Emily Southard Rao Pediatrics 720 Rutland Ave # Ross1125, Baltimore, MD 21205-2109 2013-05-14
1811230048 Yevgeniya Bamme Pediatrics 2401 W Belvedere Ave, Department of Pediatric Hematology/oncology, Baltimore, MD 21215 2013-04-06
1306188206 John Ligon Pediatrics 1800 Orleans St Rm 11379, Baltimore, MD 21287 2013-03-19
1053678409 Kathryn M Lemberg Pediatrics 1800 Orleans St, Bloomberg 11n, Baltimore, MD 21287-0010 2012-04-23
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Competitor

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City BALTIMORE
Zip Code 21205

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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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