MORGAN STATE UNIVERSITY (NPI# 1407258825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407258825 |
| Entity Type | Organization |
| Organization Name | MORGAN STATE UNIVERSITY |
| Other Organization Name | MORGAN STATE SPORTS MEDICINE AND REHABILITATION |
| Practice Address |
1700 E Cold Spring Ln Baltimore MD 21251-0001 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 4438853333 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | MICHELLE DANIELS (HEAD TRAINER) |
| Authorized Official Telephone | 4438853333 |
| Authorized Official Credential | M.ED, ATC/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Morgan State Sports Medicine and Rehabilitation | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MORGAN STATE UNIVERSITY | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 |
| Oklahoma Business Registrations | MORGAN STATE UNIVERSITY FOUNDATION, INC. | 1700 E Coldspring Lane, Baltimore, MD 21251 |
| Street Address |
1700 E COLD SPRING LN |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21251-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154751584 | Morgan State University Health Center | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2013-11-21 |
| 1982176673 | National Rehabilitation Hospital, Inc. | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-12-19 |
| 1073098778 | Kennedi Van Eyken | Internal Medicine | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-09-27 |
| 1821468349 | Daquane Ellington | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2015-09-26 |
| 1811371016 | Kaitlyn Creznic | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251 | 2015-07-17 |
| 1427456599 | Ron Cooper | Specialist/Technologist | 1700 E Cold Spring Ln, Athletics Department, Baltimore, MD 21251-0001 | 2014-12-05 |
| 1891191516 | Shanteisha Pruitt | Specialist/Technologist | 1700 E Cold Spring Ln, Hill Field House Ll119, Baltimore, MD 21251-0001 | 2014-11-06 |
| 1043628746 | Kasey Richardson | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2014-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437438645 | Ivis Theodore Forrester | Dietitian, Registered | 3939 Reisterstown Rd, Baltimore, MD 21251 | 2011-08-05 |
| 1427207778 | Kathy H. Chan | Physician Assistant | Morgan State University, Woolford Infirmary, Baltimore, MD 21251-0001 | 2008-09-11 |
| 1164984118 | Joshua Fike | Specialist/Technologist | 1700 East Cold Spring Lane, Baltimore, MD 21251-0002 | 2019-04-01 |
| 1417174889 | Folashade R Kanimodo | Nurse Practitioner | 1700 East Cold Spring Lane University Health Center, Baltimore, MD 21251-4999 | 2007-04-19 |
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396127411 | Manan Harshadray Patel | Clinic/Center | 650 W Baltimore St Dept Of, Baltimore, MD 21201-1510 | 2015-06-25 |
| 1154751584 | Morgan State University Health Center | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2013-11-21 |
| 1457784399 | Baltimore County Maryland | Clinic/Center | 1701 Delvale Ave, Baltimore, MD 21222-1235 | 2013-08-14 |
| 1275947319 | University of Maryland School of Nursing | Clinic/Center | 200 Font Hill Ave, Baltimore, MD 21223-2703 | 2014-06-17 |
| 1740693001 | Ayesha Saya | Clinic/Center | 1800 Orleans St, Baltimore, MD 21287-0010 | 2014-06-04 |
| 1053681130 | Baltimore County Maryland | Clinic/Center | 2717 Playfield St, Baltimore, MD 21222-4500 | 2012-01-06 |
| 1134499213 | Baltimore County Maryland | Clinic/Center | 1000 S Marlyn Ave, Baltimore, MD 21221-5939 | 2012-01-06 |
| 1861762940 | Baltimore County Government | Clinic/Center | 125 Kingston Rd, Baltimore, MD 21220-4815 | 2012-01-06 |
| 1023388105 | Baltimore County Maryland | Clinic/Center | 1801 Woodlawn Dr, Baltimore, MD 21207-4008 | 2012-01-06 |
| 1689944761 | Baltimore County Maryland | Clinic/Center | 501 Stemmers Run Rd, Baltimore, MD 21221-3333 | 2012-01-06 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on MORGAN STATE UNIVERSITY.
| 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.