CHASE BREXTON HEALTH SERVICES, INC. (NPI# 1275964652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275964652 |
| Entity Type | Organization |
| Organization Name | CHASE BREXTON HEALTH SERVICES, INC. |
| Other Organization Name | CHASE BREXTON HEALTH CARE |
| Practice Address |
1111 N Charles St Baltimore MD 21201-5505 |
| Practice Telephone | 4108372050 |
| Practice Fax Number | 4107521374 |
| Mailing Telephone | 4108372050 |
| Mailing Fax Number | 4107521374 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MR. KYLE EASTON (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 4108372050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 132190100 | 05 |
| Other Name | Type Code |
|---|---|
| Chase Brexton Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962759647 | Chase Brexton Health Services, Inc. | Internal Medicine | 1501 West Mount Royal Avenue, 2nd Floor, Baltimore, MD 21201-5442 | 2012-08-13 |
| 1750687166 | Chase Brexton Health Services, Inc. | Counselor | 3510 Brenbrook Drive, Randallstown, MD 21201-5442 | 2011-02-02 |
| 1801920939 | Chase Brexton Health Services, Inc. | Clinic/Center | 500 Cadmus Ln Ste 203, Easton, MD 21601-4094 | 2007-03-14 |
| 1851320147 | Chase Brexton Health Services, Inc. | Clinic/Center | 3510 Brenbrook Dr, Randallstown, MD 21133-4902 | 2006-07-01 |
| 1588606305 | Chase Brexton Health Services, Inc. | Clinic/Center | 1111 North Charles Street, Baltimore, MD 21201-5505 | 2006-06-13 |
| 1265078463 | Chase Brexton Health Services, Inc. | Case Management | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-11-22 |
| 1629492921 | Chase Brexton Health Services, Inc. | Community/Behavioral Health | 1111 N Charles St, Baltimore, MD 21201-5505 | 2014-02-07 |
| 1821336959 | Chase Brexton Health Services, Inc. | Family Medicine | 5500 Knoll North Drive, Suite 370, Columbia, MD 21045-2393 | 2013-01-24 |
| 1396993226 | Chase Brexton Health Services, Inc. | Clinic/Center | 5500 Knoll North Dr, Ste 370, Columbia, MD 21045-2370 | 2008-09-04 |
| 1073637492 | Chase Brexton Health Services, Inc. | Dentist | 1111 North Charles Street, Baltimore, MD 21201 | 2007-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHASE BREXTON HEALTH SERVICES, INC | 1111 N Charles St, Baltimore, MD 21201-5505 |
| Street Address |
1111 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417938200 | Dorian Keith Scott | Counselor | 1111 N Charles St, Baltimore, MD 21201-5505 | 2005-11-08 |
| 1396355673 | Juwanza Mcintosh | Psychologist | 1111 N Charles St, Baltimore, MD 21201-5505 | 2020-08-03 |
| 1619504362 | Tatyana Penn Brown | Student in an Organized Health Care Education/Training Program | 1111 N Charles St, Baltimore, MD 21201-5505 | 2020-03-24 |
| 1508493172 | Bharti Sharma | Student in an Organized Health Care Education/Training Program | 1111 N Charles St, Baltimore, MD 21201-5505 | 2020-03-24 |
| 1326673518 | Justin David Bartholomew | Student in an Organized Health Care Education/Training Program | 1111 N Charles St, Baltimore, MD 21201-5505 | 2020-03-08 |
| 1265078463 | Chase Brexton Health Services, Inc. | Case Management | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-11-22 |
| 1295388783 | Ndifreke Enyeama | Family Medicine | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-07-23 |
| 1124689344 | Joseph Magness | Psychologist | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-06-27 |
| 1104386556 | Nicole Agneris Esquilin | Student in an Organized Health Care Education/Training Program | 1111 N Charles St, Baltimore, MD 21201-5505 | 2019-03-21 |
| 1255801213 | Ashley Kristy Kansinally | Social Worker | 1111 N Charles St, Baltimore, MD 21201-5505 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| 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 |
| 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.