DONOVAN DIETRICK (NPI# 1245209212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245209212 |
| Entity Type | Individual |
| Full Name | DONOVAN DIETRICK |
| Credential | M.D. |
| Practice Address |
9105 Franklin Square Dr Suite 316 Baltimore MD 21237-3930 |
| Practice Telephone | 4437777831 |
| Mailing Telephone | 4437777831 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D0027086 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
9105 FRANKLIN SQUARE DR SUITE 316 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586810 | Jason Ryan Citron | Specialist | 9105 Franklin Square Dr, Ste 100, Baltimore, MD 21237-5333 | 2005-05-23 |
| 1750768313 | Podiatry Associates, P.a. | Podiatrist | 9105 Franklin Square Dr, Suite 206, Baltimore, MD 21237-3930 | 2015-05-04 |
| 1447682539 | Ms-hc, LLC | Non-Pharmacy Dispensing Site | 9105 Franklin Square Dr, Suite 318, Baltimore, MD 21237-3930 | 2013-07-31 |
| 1053756783 | Leah Bergman | Internal Medicine | 9105 Franklin Square Dr, Baltimore, MD 21237-3930 | 2013-05-08 |
| 1487097069 | Michael Vincent Budzinski | Podiatrist | 9105 Franklin Square Dr, Whitesquare Professional Building Suite 206, Baltimore, MD 21237-3930 | 2013-04-12 |
| 1891098919 | Mark P Diamond Md Pa | Clinic/Center | 9105 Franklin Square Dr, Suite 308, Baltimore, MD 21237-3930 | 2010-12-11 |
| 1538475074 | Megan Mcgraw | Radiologic Technologist | 9105 Franklin Square Dr, Baltimore, MD 21237-3930 | 2010-08-22 |
| 1528202843 | Franklin Square Hospital Center Inc | Obstetrics & Gynecology | 9105 Franklin Square Dr, Suite 316, Baltimore, MD 21237-3930 | 2009-04-30 |
| 1760625701 | Mahfuzul Haque Khan | Internal Medicine | 9105 Franklin Square Dr, Suite 304, Baltimore, MD 21237-3930 | 2009-04-07 |
| 1891935359 | Franklin Square Hospital Center Inc | Obstetrics & Gynecology | 9105 Franklin Square Dr, Suite 214, Baltimore, MD 21237-3930 | 2009-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1659722239 | Guy Jackson | Obstetrics & Gynecology | 425 N Chapel Gate Ln, Baltimore, MD 21229-2430 | 2016-06-25 |
| 1083077952 | Anna Jo Bodurtha Smith | Obstetrics & Gynecology | 1000 Fell St Apt 630, Baltimore, MD 21231-3560 | 2016-03-30 |
| 1023438850 | Golsa Mirmiran Yazdy | Obstetrics & Gynecology | 4940 Eastern Ave Bldg A1, Baltimore, MD 21224-2735 | 2014-04-19 |
| 1689091514 | Keila Siomara Muniz | Obstetrics & Gynecology | 4940 Eastern Ave Bldg Room3100, Baltimore, MD 21224-2735 | 2014-03-28 |
| 1467899179 | Caroline Davis Shell | Obstetrics & Gynecology | 37 Walker Ave Ste 100, Baltimore, MD 21208-4030 | 2013-06-04 |
| 1114299237 | Shoghag Lajinian | Obstetrics & Gynecology | 6604 Deancroft Rd, Baltimore, MD 21209-2713 | 2012-02-05 |
| 1285929778 | Dilip Guha-ray | Obstetrics & Gynecology | 11 Slade Ave # 61a, Baltimore, MD 21208-5299 | 2011-06-13 |
| 1861783391 | Stefanie M Rodwell | Obstetrics & Gynecology | 6565 N Charles St Ste 406, Baltimore, MD 21204-5803 | 2011-05-02 |
| 1740579150 | Kristi Renea King | Obstetrics & Gynecology | 1001 Pine Heights Ave Ste 203, Baltimore, MD 21229 | 2011-04-06 |
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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.