CAROLINE S MOAZZAM


Address: 5601 Loch Raven Blvd, Smyth Bldg, Suite G-1; Jhu-department of Orthopaedics-g, Baltimore, MD 21239
Phone: 4434444517

CAROLINE S MOAZZAM (NPI# 1346363322) 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) 1346363322
Entity Type Individual
Full Name CAROLINE S MOAZZAM
Credential M.D.
Practice Address 5601 Loch Raven Blvd
Smyth Bldg, Suite G-1; Jhu-department of Orthopaedics-g
Baltimore
MD 21239
Practice Telephone 4434444517
Mailing Telephone 4434444517
Enumeration Date 2007-04-06
Last Update Date 2011-07-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
D0072493 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 5601 LOCH RAVEN BLVD
SMYTH BLDG, SUITE G-1; JHU-DEPARTMENT OF ORTHOPAEDICS-G
City BALTIMORE
State MD
Zip Code 21239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940588 Paul Byron Fowler Specialist 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 2005-05-23
1992328017 Kaitlin Lee Physician Assistant 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2020-05-22
1023646692 Akiko Rockers Physician Assistant 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2020-03-30
1578199519 Erica Wilson Pharmacist 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2020-03-22
1154952497 Kimberly Jo Jenko Physician Assistant 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2020-01-27
1679103576 Nerland Dimanche Registered Nurse 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2020-01-20
1063058782 Simcha Gratz Nurse Practitioner 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2019-11-19
1548817737 Christopher Burgess Physician Assistant 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2019-08-22
1114571809 Lauren Delmonico Physician Assistant 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2019-07-30
1750943411 Sana Tanveer Ahmed Physician Assistant 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 2019-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255809273 Books of Color, LLC Student in an Organized Health Care Education/Training Program 1222 Walker Ave, Baltimore, MD 21239 2018-11-07
1902381353 Brandon Wilson Physician Assistant 5601 Lochraven Blvd, Baltimore, MD 21239 2018-10-02
1629563879 Ashley C Sayles Nurse Practitioner 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 2018-06-28
1164940656 Tarnisha Fitzgerald Nurse Practitioner 1601 East Belvedere Avenue, Baltimore, MD 21239 2017-09-05
1083153803 J.pope & Associates, LLC Counselor 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 2017-02-13
1417336017 Mana Ali Psychologist 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 2015-05-28
1730597766 Ramona Taylor-knox Counselor 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 2014-07-22
1013259142 Innovative Healing Solutions,llc Social Worker 1302 Silverthorne Rd, Baltimore, MD 21239 2013-03-27
1962744268 Mohamad Hanouneh Internal Medicine 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 2013-03-25
1164713350 Vanessa G Brown Pharmacist 5618 The Alameda, Baltimore, MD 21239 2011-04-22
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346361524 Avigdor Izsak Niv Orthopaedic Surgery 2119 Sugarcone Rd, Baltimore, MD 21209-1027 2007-04-03
1891783114 Peter R Jay Orthopaedic Surgery 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-3742 2005-10-11
1790338341 Marissa Elizabeth Bonyun Orthopaedic Surgery 22 S Greene St, Baltimore, MD 21201-1544 2019-07-23
1407297724 John Vincent Thompson Orthopaedic Surgery 2401 W Belvedere Ave, Baltimore, MD 21215 2013-07-15
1235570839 Pablo Wagner Orthopaedic Surgery 2401 W Belvedere Ave, Baltimore, MD 21215-5216 2013-07-11
1831471234 St. Paul Place Specialists, Inc. Orthopaedic Surgery 301 Saint Paul Pl, Baltimore, MD 21202-2102 2011-09-13
1104007079 Robert Paxton Mckinstry Orthopaedic Surgery 3333 N Calvert St, Suite 400, Baltimore, MD 21218-2867 2007-11-20
1013023647 Orthopaedic Specialty Center Orthopaedic Surgery 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 2006-08-23
1710913934 Antoniades Orthopaedics, LLC Orthopaedic Surgery 3449 Wilkens Ave, Ste 107, Baltimore, MD 21229-5281 2006-06-23
1205874385 Steve Alan Petersen Orthopaedic Surgery 5601 Loch Raven Blvd, Smyth Bldg, Suite G-1, Baltimore, MD 21239-2945 2006-06-02
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Competitor

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City BALTIMORE
Zip Code 21239

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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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