BALTIMORE VAMC (NPI# 1376054429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376054429 |
| Entity Type | Organization |
| Organization Name | BALTIMORE VAMC |
| Other Organization Name | BALTIMORE 1 VA CLINIC |
| Practice Address |
209 W Fayette St Baltimore MD 21201-3403 |
| Mailing Address |
Po Box 89411 Cleveland OH 44101-6411 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BALTIMORE 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245380872 | Baltimore Vamc | Clinic/Center | 5235 King Ave Ste 200, Rosedale, MD 21237-4068 | 2007-01-12 |
| 1326087719 | Baltimore Vamc | Clinic/Center | 1701 Market St, Suite 211, Pocomoke City, MD 21851-1738 | 2006-06-04 |
| 1750331831 | Baltimore Vamc | General Acute Care Hospital | Avenue D #59, Perry Point, MD 21902-1001 | 2006-05-11 |
| 1972551596 | Baltimore Vamc | Department of Veterans Affairs (VA) Pharmacy | 601 Perryville Drive, Perry Point, MD 21902-1111 | 2006-05-05 |
| 1811236060 | Baltimore Vamc | Clinic/Center | 2479 5th Street, Fort Meade, MD 20755 | 2013-02-07 |
| 1447206560 | Baltimore Vamc | General Acute Care Hospital | 3901 The Alameda, Baltimore, MD 21218-2100 | 2006-05-26 |
| 1972557304 | Baltimore Vamc | Clinic/Center | 808 Landmark Dr, Suite 128, Glen Burnie, MD 21061-4983 | 2006-05-20 |
| 1073564688 | Baltimore Vamc | Clinic/Center | 830 Chesapeake Dr, Cambridge, MD 21613-9408 | 2006-05-16 |
| 1083663157 | Baltimore Vamc | General Acute Care Hospital | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-05-08 |
| 1164480596 | Baltimore Vamc | Department of Veterans Affairs (VA) Pharmacy | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-05-03 |
| Street Address |
209 W FAYETTE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295816528 | David M Pridmore | Social Worker | 209 W Fayette St, Room 536, Baltimore, MD 21201-3403 | 2006-10-17 |
| 1700438579 | Hillel David Kerman | Social Worker | 209 W Fayette St, Baltimore, MD 21201-3403 | 2019-07-11 |
| 1497234215 | Daniel Philip Koster | Psychologist | 209 W Fayette St, Baltimore, MD 21201-3403 | 2018-08-13 |
| 1598272056 | Tonia Marie Rayford | Social Worker | 209 W Fayette St, Baltimore, MD 21201-3403 | 2018-01-05 |
| 1861906869 | Teniece Harris | Social Worker | 209 W Fayette St, Baltimore, MD 21201-3403 | 2017-11-29 |
| 1760916522 | Jeremy Stark Carmasin | Psychologist | 209 W Fayette St, Baltimore, MD 21201-3403 | 2017-04-18 |
| 1932477361 | Ruben Carroll | Social Worker | 209 W Fayette St, Room 533, Baltimore, MD 21201-3403 | 2011-12-13 |
| 1326332511 | Caroline Givens Gill | Social Worker | 209 W Fayette St, Baltimore, MD 21201-3403 | 2011-06-05 |
| 1740410232 | Megan M Smith | Psychologist | 209 W Fayette St, Neuropsychology, Baltimore, MD 21201-3403 | 2009-07-20 |
| 1881728780 | Mychelle Yvette Farmer | Pediatrics | 209 W Fayette St, Baltimore, MD 21201-3403 | 2007-03-15 |
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366526535 | Va Medical Center-baltimore | Clinic/Center | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336797182 | Loretta Irene Spessard | Clinic/Center | 664 Trafalgar Dr, Hagerstown, MD 21742-1230 | 2019-08-26 |
| 1003398728 | Washington Dc Vamc | Clinic/Center | 15810 Gaither Dr Ste 130, Gaithersburg, MD 20877-1429 | 2018-08-29 |
| 1558614875 | Washington Dc Vamc | Clinic/Center | 2268 Cedar Point Rd, Patuxent River, MD 20670-9998 | 2012-10-24 |
| 1215224399 | Martinsburg Vamc | Clinic/Center | 1433 Porter Street, Frederick, MD 21702-5000 | 2011-07-08 |
| 1043541279 | Va Maryland Health Care System | Clinic/Center | 361 Boiler House Rd, Va Medical Center, Perry Point, MD 21902-1103 | 2010-01-28 |
| 1245380872 | Baltimore Vamc | Clinic/Center | 5235 King Ave Ste 200, Rosedale, MD 21237-4068 | 2007-01-12 |
| 1457441289 | Vamhcs | Clinic/Center | 5611 Old New Market Rd, New Market, MD 21774-6201 | 2006-10-13 |
| 1326087719 | Baltimore Vamc | Clinic/Center | 1701 Market St, Suite 211, Pocomoke City, MD 21851-1738 | 2006-06-04 |
| 1649218165 | Washington Dc Vamc | Clinic/Center | 29431 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 | 2006-06-04 |
| 1285272385 | Washington Dc Vamc | Clinic/Center | 45870 East Run Drive, Suite 300, Lexington Park, MD 20653-9998 | 2019-12-19 |
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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.