STEPHEN J PLANTHOLT (NPI# 1265426274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265426274 |
| Entity Type | Individual |
| Full Name | STEPHEN J PLANTHOLT |
| Credential | M.D. |
| Practice Address |
3407 Wilkens Ave Suite 300 Baltimore MD 21229-5072 |
| Practice Telephone | 4106445111 |
| Practice Fax Number | 4106442715 |
| Mailing Telephone | 4106445111 |
| Mailing Fax Number | 4106442715 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D0023580 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | 060027012 | 01 |
| Street Address |
3407 WILKENS AVE SUITE 300 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687178 | Martin A. Albornoz | Internal Medicine | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2005-05-31 |
| 1356729040 | Edilberto Atienza Jr. | Family Medicine | 3407 Wilkens Ave, Baltimore, MD 21229 | 2015-05-13 |
| 1760879738 | Neleen Bonilla Orsal | Nurse Practitioner | 3407 Wilkens Ave, Baltimore, MD 21229-5072 | 2015-04-17 |
| 1417379777 | Omoteniola Awofolu Dds. LLC | Dentist | 3407 Wilkens Ave, Suite 205, Baltimore, MD 21229-5072 | 2014-01-06 |
| 1205023280 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 3407 Wilkens Ave, Suite 200, Baltimore, MD 21229-5072 | 2007-10-03 |
| 1942341912 | David J. Wang | Internal Medicine | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2007-02-10 |
| 1427107580 | Wendy Jo Subasic | Physician Assistant | 3407 Wilkens Ave, Suite 210, Baltimore, MD 21229-5072 | 2007-01-09 |
| 1720135544 | Bishoy Gayed | Urology | 3407 Wilkens Ave, Suite 210, Baltimore, MD 21229-5072 | 2007-01-04 |
| 1437253127 | Sondra Beth Barker | Nurse Practitioner | 3407 Wilkens Ave, Suite 210, Baltimore, MD 21229-5072 | 2006-09-12 |
| 1346257540 | Avinash L. Ganti | Surgery | 3407 Wilkens Ave, Suite 300, Baltimore, MD 21229-5072 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1407119712 | Yitzhak Rosen | Internal Medicine | Sheikh Zayed - Echo Lab, 1800 Orleans Streeet, 4th Floor, Baltimore, MD 21287-0010 | 2012-06-21 |
| 1013206119 | Thorsten Martin Leucker | Internal Medicine | 4940 Eastern Ave Ste 2400, Baltimore, MD 21224-2735 | 2011-03-30 |
| 1003115387 | Tolulope Adesiyun Agunbiade | Internal Medicine | 3333 N Calvert St Ste Llo8, Baltimore, MD 21218 | 2011-03-25 |
| 1932401544 | Esther Sung Hee Pak | Internal Medicine | 4416 Laplata Ave, Apt A, Baltimore, MD 21211-1135 | 2010-12-02 |
| 1598990780 | Boon Yew Tan | Internal Medicine | 600 N Wolfe Street Carnegie 592, Baltimore, MD 21287-0001 | 2009-05-18 |
| 1548494529 | Mansoor Mozayan | Internal Medicine | 9105 Franklin Square Dr Ste 209, Baltimore, MD 21237-3958 | 2009-05-06 |
| 1083880876 | John Rickard | Internal Medicine | 301 Mason Lord Dr, Baltimore, MD 21224-3057 | 2008-05-01 |
| 1639362247 | Ramanather Sirithara, M.d., P.a. | Internal Medicine | 3001 Hanover St, Suite 334, Baltimore, MD 21225-1233 | 2007-08-27 |
| 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.