BALTIMORE MEDICAL SYSTEM, INC. (NPI# 1407998792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407998792 |
Entity Type | Organization |
Organization Name | BALTIMORE MEDICAL SYSTEM, INC. |
Practice Address |
801 S Highland Ave Baltimore MD 21224-5131 |
Mailing Address |
3501 Sinclair Ln Baltimore MD 21213-2029 |
Practice Telephone | 4103969172 |
Mailing Telephone | 4107328800 |
Mailing Fax Number | 4102767694 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2013-10-31 |
NPI Deactivation Date | 09/07/2011 |
NPI Reactivation Date | 2013-10-31 |
Authorized Official Name | MR. JAY WOLVOVSKY (CEO) |
Authorized Official Telephone | 4107328800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 376751500 | 05 | |
MD | 376751509 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619248515 | Baltimore Medical System, Inc. | Clinic/Center | 600 N Patterson Park Ave, Baltimore, MD 21205-2447 | 2012-01-24 |
1437380581 | Baltimore Medical System, Inc. | Clinic/Center | 1409 N Collington Ave, Baltimore, MD 21213-3418 | 2009-08-06 |
1518008325 | Baltimore Medical System, Inc. | Clinic/Center | 5001 Sinclair Ln, Baltimore, MD 21206-5937 | 2007-02-12 |
1720084528 | Baltimore Medical System, Inc. | Clinic/Center | 3612 Falls Rd, Baltimore, MD 21211-1814 | 2005-06-27 |
1700882503 | Baltimore Medical System, Inc. | Clinic/Center | 3501 Sinclair Ln, Baltimore, MD 21213-2029 | 2005-06-27 |
1912903436 | Baltimore Medical System, Inc. | Clinic/Center | 4000 Annapolis Rd, Rear 105, Baltimore, MD 21227-3611 | 2005-06-21 |
1174803456 | Baltimore Medical System, Inc. | Clinic/Center | 6900 Park Heights Ave, Baltimore, MD 21215-1608 | 2011-08-18 |
1184904443 | Baltimore Medical System, Inc. | Clinic/Center | 1919 N Broadway, Baltimore, MD 21213-1432 | 2011-08-18 |
1447302203 | Baltimore Medical System, Inc. | Clinic/Center | 3701 Eastern Ave, Baltimore, MD 21224-4208 | 2007-01-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BALTIMORE MEDICAL SYSTEM, INC. | 3501 Sinclair Ln, Baltimore, MD 21213-2029 |
Street Address |
801 S HIGHLAND AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21224-5131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
Find all providers in zip 21224 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699292110 | Baltimore Medical System Inc | Clinic/Center | 3701 Eldorado Avenue, Baltimore, MD 21207-7658 | 2017-08-25 |
1083087878 | Mergenthaler Vocational-technical High School | Clinic/Center | 3500 Hillen Rd, Baltimore, MD 21218-2227 | 2015-11-03 |
1952778573 | Vanguard Collegiate Middle School | Clinic/Center | 5000 Truesdale Rd, Baltimore, MD 21206-6145 | 2015-08-31 |
1881087336 | Total Health Care Inc | Clinic/Center | 200 E 33rd St Ste 265, Baltimore, MD 21218-3377 | 2015-03-09 |
1346664562 | Patterson High School | Clinic/Center | 100 Kane Street, Baltimore, MD 21224 | 2014-02-07 |
1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
1619248515 | Baltimore Medical System, Inc. | Clinic/Center | 600 N Patterson Park Ave, Baltimore, MD 21205-2447 | 2012-01-24 |
1942501150 | Baltimore Medical System, Inc | Clinic/Center | 1101 N Wolfe St, Baltimore, MD 21213-3310 | 2010-11-04 |
1346540606 | Total Health Care, Inc. | Clinic/Center | 827 Linden Boulevard, Baltimore, MD 21202 | 2010-11-02 |
1437380581 | Baltimore Medical System, Inc. | Clinic/Center | 1409 N Collington Ave, Baltimore, MD 21213-3418 | 2009-08-06 |
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.